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尊严遭遇:基层医疗环境中患有长期疾病的患者及其亲属的体验。

Dignity encounters: the experiences of people with long-term illnesses and their close relatives within a primary healthcare setting.

机构信息

Department of Health Science, Luleå University of Technology, Luleå, Sweden.

Department of Health, Blekinge Institute of Technology, Karlskrona, Sweden.

出版信息

Prim Health Care Res Dev. 2022 Nov 14;23:e72. doi: 10.1017/S1463423622000603.

Abstract

AIM

To describe the experiences of dignity encounters from the perspective of people with long-term illness and their close relatives within a primary healthcare setting.

BACKGROUND

The importance of dignity as a concept in nursing care is well known, and in every healthcare encounter, the patient's dignity has to be protected.

METHODS

A purposive sample of 10 people (5 couples) participated in this qualitative descripted study. One person in each of the couples had a long-term illness. Conjoint interviews were conducted and analyzed with an inductive qualitative content analysis.

RESULTS

The analysis resulted in three themes: i) ; ii) ; and iii) . Couples described being encountered with dignity as having accessibility to care in terms of being welcomed with their needs and receiving help. Accessibility promoted beneficial contact with healthcare personnel, who empowered the couples with guidance and support. Couples described a dignity encounter when healthcare personnel confirmed them as valuable and important persons. A dignity encounter was promoted their sense of feeling satisfied with the care they received and promoted safe care. Treated with dignity had a positive impact on the couples' health and well-being and enhanced their sense of a good impression of the healthcare personnel within the primary health care.

CONCLUSIONS

Healthcare personnel must regard and consider people with long-term illnesses and their close relatives' experiences of dignity encounters to gain an understanding that enables them to support their needs and to know that the care is directed toward them.

摘要

目的

从基层医疗保健环境中患有长期疾病的患者及其亲属的角度描述尊严遭遇的体验。

背景

尊严作为护理概念的重要性是众所周知的,在每一次医疗保健接触中,都必须保护患者的尊严。

方法

本定性描述研究采用目的性抽样,选取了 10 名参与者(5 对夫妇)。每对夫妇中的一人患有长期疾病。进行了联合访谈,并采用归纳定性内容分析法进行分析。

结果

分析结果得出了三个主题:i);ii);iii)。夫妇们描述说,遇到有尊严的待遇是指在满足他们的需求并获得帮助的情况下获得医疗服务的可及性。可及性促进了与医疗保健人员的有益接触,这些人员为夫妇提供了指导和支持,使他们有能力。夫妇们描述了当医疗保健人员确认他们是有价值和重要的人时,他们会遇到有尊严的待遇。有尊严的待遇会使他们对所接受的护理感到满意,并促进安全的护理。受到有尊严的待遇对夫妇的健康和幸福产生了积极的影响,并增强了他们对基层医疗保健中医疗保健人员的良好印象。

结论

医疗保健人员必须关注和考虑患有长期疾病的患者及其亲属的尊严遭遇体验,以了解他们的需求,并确保护理是针对他们的。

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