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烧伤患者的尊严:一项针对护士、家庭护理人员和患者的质性描述性研究。

The dignity of burn patients: a qualitative descriptive study of nurses, family caregivers, and patients.

作者信息

Tehranineshat Banafsheh, Rakhshan Mahnaz, Torabizadeh Camellia, Fararouei Mohammad, Gillespie Mark

机构信息

Community Based Psychiatric Care Research Center, Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.

Department of Epidemiology, School of Public Health, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

BMC Nurs. 2021 Oct 22;20(1):205. doi: 10.1186/s12912-021-00725-w.

DOI:10.1186/s12912-021-00725-w
PMID:34686167
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8539828/
Abstract

BACKGROUND

As an ethical principle, showing respect for human dignity is a professional duty of all nurses. The aggressive nature of severe burn injuries makes it hard to respect the existential values and dignity of burn patients. However, only a few studies have been conducted on the preservation of the dignity of burn patients. The purpose of this study is to identify and describe burn patients' dignity as perceived by nurses, family caregivers, and burn patients.

METHODS

The present study has a descriptive, qualitative research design. Nurses, family caregivers and patients in the biggest burns hospital in the south of Iran were selected via purposeful sampling from October 2017 to August 2018 (n = 25). Data were collected using semi-structured, in-depth, individual interviews. Thereafter, data analysis was performed through conventional content analysis.

RESULTS

Three main themes were extracted from the information obtained in the interviews: empathic communication, showing respect, and providing comprehensive support.

CONCLUSION

The care provided to burn patients should be combined with effective communication, spending time with them, and attending to their repetitive requests, so that they can freely express their feelings and concerns. In addition, the patients' human values and beliefs should be respected and all aspects of their existence should be taken into account to preserve their dignity. Workshops designed based on the findings of the present study can help with improving the quality of burn nursing care.

摘要

背景

作为一项伦理原则,尊重人的尊严是所有护士的职业责任。严重烧伤的侵袭性使得尊重烧伤患者的生存价值和尊严变得困难。然而,关于维护烧伤患者尊严的研究却很少。本研究的目的是识别和描述护士、家庭照顾者以及烧伤患者所感知到的烧伤患者的尊严。

方法

本研究采用描述性定性研究设计。2017年10月至2018年8月,通过目的抽样法从伊朗南部最大的烧伤医院选取护士、家庭照顾者和患者(n = 25)。采用半结构化、深入的个人访谈收集数据。之后,通过传统内容分析法进行数据分析。

结果

从访谈中获得的信息提取出三个主要主题:共情沟通、表示尊重和提供全面支持。

结论

对烧伤患者的护理应与有效的沟通、陪伴他们以及关注他们的反复诉求相结合,以便他们能够自由表达自己的感受和担忧。此外,应尊重患者的人文价值观和信仰,并考虑其生存的各个方面以维护其尊严。基于本研究结果设计的工作坊有助于提高烧伤护理质量。

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Indian J Palliat Care. 2019 Apr-Jun;25(2):190-196. doi: 10.4103/IJPC.IJPC_46_18.
2
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Nurs Ethics. 2020 Feb;27(1):127-140. doi: 10.1177/0969733019845126. Epub 2019 May 16.
3
Concept analysis of human dignity in patient care: Rodgers' evolutionary approach.患者护理中人类尊严的概念分析:罗杰斯的进化方法。
J Med Ethics Hist Med. 2018 Apr 18;11:4. eCollection 2018.
4
Saturation in qualitative research: exploring its conceptualization and operationalization.定性研究中的饱和度:探索其概念化与操作化
Qual Quant. 2018;52(4):1893-1907. doi: 10.1007/s11135-017-0574-8. Epub 2017 Sep 14.
5
Respectful care of human dignity: how is it perceived by patients and nurses?尊重人类尊严的关怀:患者和护士如何看待它?
J Med Ethics. 2018 Oct;44(10):675-680. doi: 10.1136/medethics-2017-104666. Epub 2018 Jun 20.
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Patients' perception of dignity in Iranian general hospital settings.伊朗综合医院环境下患者对尊严的感知。
Nurs Ethics. 2019 Sep;26(6):1777-1790. doi: 10.1177/0969733018772078. Epub 2018 May 7.
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J Palliat Care. 2018 Apr;33(2):88-94. doi: 10.1177/0825859718759882. Epub 2018 Mar 7.
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Dignity from the nurses' and older patients' perspective: A qualitative literature review.护士和老年患者视角下的尊严:一项定性文献回顾。
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Test of a Dignity Model in patients with heart failure.心力衰竭患者尊严模型测试。
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