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住院期间痴呆患者的护理缺失:一项观察性研究。

Missed Nursing Care Among Patients With Dementia During Hospitalization: An Observation Study.

出版信息

Res Gerontol Nurs. 2021 May-Jun;14(3):150-159. doi: 10.3928/19404921-20210326-01. Epub 2021 May 1.

DOI:10.3928/19404921-20210326-01
PMID:34039149
Abstract

Patients with dementia (PwD) are characterized as a vulnerable group as they are unable to communicate their needs, putting them at risk for care omissions. The current study aimed to explore care toward PwD and detect if any aspects of care are omitted. An observation study was conducted in three medical-surgical adult wards of an acute general hospital. Data were collected by an observer, through field notes, and were analyzed with content analysis. A face scale was used to assess PwD's mood. Thirteen PwD were observed for 90 hours. Four thematic areas were identified: (a) Unmet Fundamental Patient Needs, (b) Human Right to Dignity and Respect, (c) Communication Deficiencies, and (d) Implementation of Nursing Interventions. Nurse-patient contact lasted from 5 to 7 minutes and numerous care omissions were noted. The face scale assessment revealed that most PwD looked very sad after nursing care. This study enriches insight for the care of PwD during hospitalization and emphasizes the need for health care workers' education and support. [(3), 150-159.].

摘要

痴呆症患者(PwD)被认为是一个弱势群体,因为他们无法表达自己的需求,使他们面临护理疏忽的风险。本研究旨在探讨对痴呆症患者的护理,并发现是否存在任何护理疏忽的方面。一项观察性研究在一家急性综合医院的三个内科和外科成人病房进行。数据由观察者通过现场记录收集,并通过内容分析进行分析。使用面部量表评估痴呆症患者的情绪。观察了 13 名痴呆症患者 90 小时。确定了四个主题领域:(a)未满足的基本患者需求,(b)人类尊严和尊重的权利,(c)沟通缺陷,以及(d)护理干预措施的实施。护士与患者的接触时间从 5 到 7 分钟不等,并且注意到了许多护理疏忽。面部量表评估显示,大多数痴呆症患者在接受护理后看起来非常悲伤。这项研究丰富了住院期间对痴呆症患者护理的认识,并强调了医护人员教育和支持的必要性。 [(3), 150-159.].

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