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血液透析治疗中的护患治疗关系。

Therapeutic relationship nurse-patient in hemodialysis therapy.

机构信息

Department of Surgical, Transplantation Nursing, and Extracorporeal Treatment, Faculty of Health Sciences, Medical University of Warsaw, Warsaw, Poland.

出版信息

Nurs Forum. 2021 Jul;56(3):579-586. doi: 10.1111/nuf.12590. Epub 2021 May 5.

Abstract

INTRODUCTION

Building a therapeutic relationship aims to achieve therapeutic goals. The aim of the study was to determine the importance of the therapeutic relationship between nurse and patient in hemodialysis therapy.

MATERIAL AND METHODS

The study included 77 patients with end-stage kidney disease (ESKD) and on long-term hemodialysis in one of Warsaw's dialysis centers. The diagnostic survey method was used with the questionnaire technique. A survey questionnaire developed by the author was used as the tool for the study. The analysis was carried out using StatSoft Statistica 13.1 PL statistical package and Microsoft Office.

RESULTS

According to the respondents, the main elements of a therapeutic relationship are empathy (82%), mutual trust (68%), and respect (60%). 86% of patients believed that the nurse-patient relationship was important in renal replacement therapy, significantly less frequently with reference to patients aged 70 years and older (p < .05). Patients positively evaluated the nurse-patient therapeutic relationship, indicating that it influences the sense of security, helps in coping with difficult moments, and increases the quality of medical care.

CONCLUSIONS

The establishment of a therapeutic relationship with the patient should be the basic course of action of every nurse.

摘要

简介

建立治疗关系旨在实现治疗目标。本研究旨在确定护士与患者在血液透析治疗中的治疗关系的重要性。

材料与方法

该研究纳入了一家华沙透析中心的 77 名终末期肾病(ESKD)患者和长期血液透析患者。采用诊断性调查方法和问卷调查技术。使用作者开发的调查问卷作为研究工具。分析使用 StatSoft Statistica 13.1 PL 统计软件包和 Microsoft Office 进行。

结果

根据受访者的说法,治疗关系的主要要素包括同理心(82%)、相互信任(68%)和尊重(60%)。86%的患者认为护士-患者关系在肾脏替代治疗中很重要,年龄在 70 岁及以上的患者认为这一点的频率明显较低(p<.05)。患者对护士-患者治疗关系给予了积极评价,表明它影响安全感,帮助应对困难时刻,并提高医疗质量。

结论

与患者建立治疗关系应该是每位护士的基本行动方针。

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Therapeutic relationship nurse-patient in hemodialysis therapy.血液透析治疗中的护患治疗关系。
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The therapeutic relationship: historical development and contemporary significance.治疗关系:历史发展与当代意义
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