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为慢性阻塞性肺疾病患者塑造更好的康复:护士及同事开展跨学科远程康复干预的经验

Shaping Better Rehabilitation to Chronic Obstructive Pulmonary Disease Patients: Experiences of Nurses and Colleagues With an Interdisciplinary Telerehabilitation Intervention.

作者信息

Simonÿ Charlotte, Neerup Andersen Marianne, Hansen Rasmus Gormsen, Schrøder Lisbeth, Jensen Therese Gjerde, Bodtger Uffe, Birkelund Regner, Beck Malene

机构信息

University of Southern Denmark, Odense, Denmark.

Naestved-Slagelse-Ringsted Hospitals, Region Zealand, Denmark.

出版信息

Glob Qual Nurs Res. 2022 Aug 26;9:23333936221109890. doi: 10.1177/23333936221109890. eCollection 2022 Jan-Dec.

DOI:10.1177/23333936221109890
PMID:36046468
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9421008/
Abstract

In order to evaluate the reach of a collaborative cross-sectoral telerehabilitation intervention to patients with Chronic Obstructive Pulmonary Disease (COPD), this study investigates how nurses and interdisciplinary colleagues experienced working with it. In two focus group interviews, the experiences of working in the empowerment and tele-based >>> program were examined among three nurses and four interdisciplinary colleagues. Data were analyzed with inspiration from Ricoeur's theory of narrative and interpretation and discussed with Gittell's theory of relational coordination. Nurses and colleagues experienced that the intervention paved the way for unique patient-professional coordination and interdisciplinary cross-sectoral teamwork that allowed double-layered relational coordination, focusing holistically on patients' lived challenges in everyday life with COPD. By this rehabilitation setup, nurses and colleagues are perceived as educated to deliver high standard personalized support, raising professional pride and confidence. The findings can inspire future health-promoting initiatives within nursing support related to patients afflicted with COPD.

摘要

为了评估跨部门协作远程康复干预对慢性阻塞性肺疾病(COPD)患者的覆盖范围,本研究调查了护士和跨学科同事在使用该干预措施时的体验。在两次焦点小组访谈中,研究了三名护士和四名跨学科同事在赋权和远程项目中的工作体验。数据分析借鉴了利科的叙事与解释理论,并结合吉特尔的关系协调理论进行讨论。护士和同事们体验到,该干预措施为独特的患者-专业人员协调和跨学科跨部门团队合作铺平了道路,实现了双层关系协调,全面关注COPD患者日常生活中的实际挑战。通过这种康复设置,护士和同事被认为有能力提供高标准的个性化支持,提升了职业自豪感和信心。这些发现可以为未来与COPD患者护理支持相关 的健康促进倡议提供启发。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57df/9421008/2175c33dda91/10.1177_23333936221109890-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57df/9421008/2175c33dda91/10.1177_23333936221109890-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57df/9421008/2175c33dda91/10.1177_23333936221109890-fig1.jpg

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本文引用的文献

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Raised illness mastering - a phenomenological hermeneutic study of chronic obstructive pulmonary disease patients' experiences while participating in a long-term telerehabilitation programme.提升疾病掌控能力——参与长期远程康复计划的慢性阻塞性肺疾病患者的体验的现象学诠释学研究。
Disabil Rehabil Assist Technol. 2022 Jul;17(5):594-601. doi: 10.1080/17483107.2020.1804630. Epub 2020 Aug 26.
2
Challenges to cross-sectoral care experienced by professionals working with patients living with low back pain: a qualitative interview study.跨部门护理面临的挑战:与腰痛患者合作的专业人员的定性访谈研究。
BMC Health Serv Res. 2020 Mar 4;20(1):164. doi: 10.1186/s12913-020-4988-y.
3
Striving for Confidence and Satisfaction in Everyday Life with Chronic Obstructive Pulmonary Disease: Rationale and Content of the Tele-Rehabilitation Programme >C☺PD-Life>>.
慢性阻塞性肺疾病患者日常生活中追求自信与满意:远程康复计划 >C☺PD-Life>>的原理和内容。
Int J Environ Res Public Health. 2019 Sep 9;16(18):3320. doi: 10.3390/ijerph16183320.
4
Breathing through a troubled life - a phenomenological-hermeneutic study of chronic obstructive pulmonary disease patients' lived experiences during the course of pulmonary rehabilitation.在困境中呼吸——慢性阻塞性肺疾病患者在肺康复过程中生活体验的现象学-诠释学研究。
Int J Qual Stud Health Well-being. 2019 Dec;14(1):1647401. doi: 10.1080/17482631.2019.1647401.
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A Ricoeur-Inspired Approach to Interpret Participant Observations and Interviews.一种受利科启发的方法来解读参与观察和访谈。
Glob Qual Nurs Res. 2018 Oct 30;5:2333393618807395. doi: 10.1177/2333393618807395. eCollection 2018 Jan-Dec.
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Barriers and enablers of COPD telerehabilitation - a frontline staff perspective.慢性阻塞性肺疾病远程康复的障碍与促进因素——一线工作人员的视角
Int J Chron Obstruct Pulmon Dis. 2018 Aug 17;13:2473-2482. doi: 10.2147/COPD.S167501. eCollection 2018.
7
Barriers to the Integration of Care in Inter-Organisational Settings: A Literature Review.跨组织环境下医疗整合的障碍:文献综述
Int J Integr Care. 2018 Jan 16;18(1):5. doi: 10.5334/ijic.3068.
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Interorganisational Integration: Healthcare Professionals' Perspectives on Barriers and Facilitators within the Danish Healthcare System.组织间整合:医疗保健专业人员对丹麦医疗保健系统中障碍和促进因素的看法。
Int J Integr Care. 2016 Mar 31;16(1):4. doi: 10.5334/ijic.2449.
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Process evaluation of complex interventions: Medical Research Council guidance.复杂干预措施的过程评估:医学研究委员会指南。
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