家庭成员如何在门诊环境中体验以家庭为中心的房颤干预——一项定性研究
How Family Members Experienced a Family-Focused Atrial Fibrillation Intervention in an Outpatient Setting-A Qualitative Study.
作者信息
Rosenstrøm Stine, Chou Wan Xui, Brødsgaard Anne
机构信息
Department of Cardiology, Copenhagen University Hospital, Amager Hvidovre, Capital Region of Denmark.
Nursing and Health Care, Department of Public Health, University of Aarhus, Denmark.
出版信息
SAGE Open Nurs. 2022 Aug 2;8:23779608221114265. doi: 10.1177/23779608221114265. eCollection 2022 Jan-Dec.
INTRODUCTION
Family-focused nursing has gained ground worldwide, and a range of healthcare systems are now practicing family-focused nursing, which has been shown to increase the quality of care. Even so, a lack of research remains into family-focused nursing for various groups of patients in clinical practice.
OBJECTIVES
The purpose of this study was to explore how family members (FMs) of patients with atrial fibrillation (AF) experienced a family-focused nursing intervention in a clinical outpatient setting.
METHODS
This was a qualitative phenomenological interview study employing Reflective Lifeworld Research (RLR) to explore humans' lived experiences. The data reported herein were derived from semi-structured interviews with seven FMs of patients with AF who participated in a clinical trial which tested a family-focused intervention in a Cardiology outpatient clinic treating patients with AF. The transcribed interviews were analyzed in four phases which is an iterative process as proposed by Dahlberg and Dahlberg.
FINDINGS
The essence of the phenomenon was experiencing less panic and finding peace, which emerged from the following four patterns. (1) The FMs' post-AF experience, (2) Enhanced understanding and knowledge of AF, (3) Personal interaction with a nurse specialist and (4) AF becomes manageable. A space facilitating reflection upon the disease and daily life with the disease was established through group sessions and family conversations.
CONCLUSION
A family-focused nursing intervention facilitated by specialized nurses with extensive communication skills filled a knowledge gap related to AF thereby reducing panic and increasing peace among FMs. Furthermore, the intervention facilitated family awareness of their resources to bring about change, regain balance, and enhance well-being in their everyday lives and initiated a healing process in the families. Future interventions for patients with AF should consider FMs as well as patients as an entity of care.
引言
以家庭为中心的护理在全球范围内得到了广泛应用，一系列医疗保健系统目前都在实施以家庭为中心的护理，事实证明这种护理方式可以提高护理质量。即便如此，对于临床实践中不同患者群体的以家庭为中心的护理，仍缺乏相关研究。
目的
本研究旨在探讨房颤（AF）患者的家庭成员（FMs）在临床门诊环境中接受以家庭为中心的护理干预的体验。
方法
这是一项定性现象学访谈研究，采用反思性生活世界研究（RLR）来探索人类的生活经历。本文所报告的数据来自对七名房颤患者的家庭成员进行的半结构化访谈，这些家庭成员参与了一项临床试验，该试验在一家治疗房颤患者的心脏病门诊诊所测试了一种以家庭为中心的干预措施。转录后的访谈按照达尔伯格和达尔伯格提出的迭代过程分四个阶段进行分析。
结果
该现象的本质是体验到更少的恐慌并找到平静，这从以下四种模式中显现出来。（1）房颤患者家庭成员的房颤后经历，（2）对房颤的理解和知识增强，（3）与专科护士的个人互动，以及（4）房颤变得可控。通过小组会议和家庭对话建立了一个促进对疾病及与疾病相伴的日常生活进行反思的空间。
结论
由具备广泛沟通技巧的专科护士实施的以家庭为中心的护理干预填补了与房颤相关的知识空白，从而减少了家庭成员的恐慌并增加了他们的平静感。此外，该干预促进了家庭对自身资源的认识，以实现改变、重新获得平衡并提高日常生活中的幸福感，并在家庭中启动了一个治愈过程。未来针对房颤患者的干预措施应将家庭成员以及患者视为一个护理整体。
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