护士对患者参与心肌梗死治疗路径的看法。
Nurses' perceptions of patient participation in the myocardial infarction pathway.
作者信息
Bårdsgjerde Elise Kvalsund, Landstad Bodil J, Hole Torstein, Nylenna Magne, Gjeilo Kari Hanne, Kvangarsnes Marit
机构信息
Department of Health Sciences in Ålesund Faculty of Medicine and Health Sciences NTNU - Norwegian University of Science and Technology Ålesund Norway.
Department of Health Sciences Mid Sweden University Sundsvall and Östersund Sweden.
出版信息
Nurs Open. 2020 Jun 15;7(5):1606-1615. doi: 10.1002/nop2.544. eCollection 2020 Sep.
AIM
To explore nurses' perceptions of patient participation in different phases of the myocardial infarction pathway.
DESIGN
Qualitative design with a hermeneutical approach.
METHODS
Five focus groups were conducted at two hospitals, one with and one without percutaneous coronary intervention facilities, between February-November 2018. Participants were recruited through purposive sampling. Twenty-two nurses experienced in cardiac care participated. The analysis had a hermeneutical approach.
RESULTS
The findings revealed nurses' perceptions of patient participation in different phases of the myocardial infarction pathway. Four themes were identified: (a) variation between paternalism and autonomy in the acute phase; (b) individualization of dialogue and patient participation during treatment; (c) lack of coherence in the pathway hinders patient participation at discharge; and (d) cardiac rehabilitation promotes patients' autonomous decisions in lifestyle changes.
目的
探讨护士对患者在心肌梗死治疗路径不同阶段参与情况的看法。
设计
采用诠释学方法的定性设计。
方法
2018年2月至11月期间，在两家医院进行了五次焦点小组讨论，其中一家有经皮冠状动脉介入治疗设施，另一家没有。通过目的抽样招募参与者。22名有心脏护理经验的护士参与其中。分析采用诠释学方法。
结果
研究结果揭示了护士对患者在心肌梗死治疗路径不同阶段参与情况的看法。确定了四个主题：（a）急性期家长式作风与自主性之间的差异；（b）治疗期间对话的个性化与患者参与；（c）治疗路径缺乏连贯性阻碍患者出院时的参与；（d）心脏康复促进患者在生活方式改变方面做出自主决定。
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