Bhimani Rozina H, Soomar Daanish
University of Minnesota School of Nursing, Minneapolis, MN, USA.
College of Liberal Arts, University of Minnesota, Minneapolis, MN, USA.
Rehabil Nurs. 2019 Sep/Oct;44(5):271-281. doi: 10.1097/rnj.0000000000000151.
This study examined the nature of muscle tightness from nurses' perspectives and explored how the symptoms of muscle tightness are communicated, managed, and differentiated from other conditions, such as muscle rigidity and muscle weakness.
An exploratory, descriptive qualitative design was used.
Eight rehabilitation nurses described lexicons, care strategies, and communication for muscle tightness, weakness, and rigidity.
Nurses used conflicting terms to describe muscle tightness, weakness, and rigidity. They identified medications and range of motion as the best strategies to manage muscle conditions. Nurses approach care holistically and do not differentiate care strategies that are based only on a symptoms lens.
Nurses were unable to clearly differentiate between muscle tightness and rigidity.
Nurses influence patients' choice of vocabulary; therefore, they must use simple but precise terminologies to educate their patients. Miscommunication between nurses and patients can lead to errors, which can have negative consequences.
本研究从护士的角度审视了肌肉紧张的本质，并探讨了肌肉紧张症状是如何被传达、管理以及与其他状况（如肌肉僵硬和肌肉无力）相区分的。
采用探索性、描述性定性设计。
八位康复护士描述了关于肌肉紧张、无力和僵硬的术语、护理策略及沟通方式。
护士们使用相互矛盾的术语来描述肌肉紧张、无力和僵硬。他们确定药物治疗和活动范围是管理肌肉状况的最佳策略。护士采取整体护理方法，且不会区分仅基于症状视角的护理策略。
护士无法清晰区分肌肉紧张和僵硬。
护士会影响患者的词汇选择；因此，他们必须使用简单但精确的术语来教育患者。护士与患者之间的沟通不畅可能导致错误，进而产生负面后果。
