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隔离病房中 COVID-19 患者人性化护理的护理干预措施:综合评价。

Nursing interventions that humanise care for patients affected by COVID-19 in isolation units: An integrative review.

机构信息

Department of Nursing, Escola Superior de Saúde Egas Moniz/ PaMNEC - CiiEM, Rua António José Batista nº116, 3esq, 2910-397, Setúbal, Almada, Portugal.

Department of Nursing, Centro Hospitalar de Setúbal, Setúbal, Portugal.

出版信息

Infect Dis Health. 2022 Aug;27(3):163-174. doi: 10.1016/j.idh.2022.03.001. Epub 2022 Apr 1.

DOI:10.1016/j.idh.2022.03.001
PMID:35459625
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8971055/
Abstract

BACKGROUND

During the global pandemic, the increasing number of hospitalised patients affected by COVID-19 led to a shortage of nurses. This situation can cause nurses to focus their care on managing the acute aspects of the disease, neglecting interventions that can humanise their practices and improve quality of care. This review aims to identify nurses' interventions that can humanise care for patients affected by COVID-19 in isolation units.

METHODS

Whittemore and Knafl's integrative review methodology was used to structure and conduct the review. The literature search was conducted using CINAHL, MEDLINE, Nursing & Allied Health, MedicLatina, Sciencedirect, LILACS, and PubMed databases. Researchers performed the final search in January 2021.

RESULTS

A total of seven articles were included in this review. Interventions by nursing staff that may humanise care for patients affected by COVID-19 in isolation units fall within two themes: "expressive dimension interventions", related to the establishment of communication with patients and their families, providing psychological comfort, shared decision-making and patient education; and "instrumental dimension interventions", associated with providing patients physical comfort, and symptom management.

CONCLUSION

This review provides insight into both "expressive dimension" and "instrumental dimension" of nursing interventions that may humanise care to patients affected by COVID-19 in isolation units. This knowledge will allow nurses to improve their care practices, providing more holistic, humanised care for these patients.

摘要

背景

在全球大流行期间,因 COVID-19 而住院的患者人数不断增加,导致护士短缺。这种情况可能导致护士将护理重点放在管理疾病的急性方面,而忽视了可以使其护理人性化并提高护理质量的干预措施。本综述旨在确定可以使接受隔离的 COVID-19 患者护理人性化的护士干预措施。

方法

采用 Whittemore 和 Knafl 的综合评价方法对综述进行了结构和实施。使用 CINAHL、MEDLINE、护理与联合健康、MedicLatina、Sciencedirect、LILACS 和 PubMed 数据库进行文献检索。研究人员于 2021 年 1 月进行了最终搜索。

结果

本综述共纳入 7 篇文章。护理人员可以使接受隔离的 COVID-19 患者护理人性化的干预措施分为两个主题:“表达维度干预”,与患者及其家属建立沟通、提供心理安慰、共同决策和患者教育有关;和“工具维度干预”,与为患者提供身体舒适度和症状管理有关。

结论

本综述深入了解了可能使接受隔离的 COVID-19 患者护理人性化的护理干预措施的“表达维度”和“工具维度”。这些知识将使护士能够改善他们的护理实践,为这些患者提供更全面、更人性化的护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0938/8971055/b919a1fef182/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0938/8971055/b919a1fef182/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0938/8971055/b919a1fef182/gr1_lrg.jpg

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