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西班牙初级保健中的慢性心血管护理:一项定性研究。

Chronic cardiovascular nursing care in Spanish primary care: A qualitative study.

机构信息

Department of Nursing, Faculty of Health Sciences, Universidad Rey Juan Carlos, Madrid, Spain.

Department of Medical Specialties and Public Health, Faculty of Health Sciences, Universidad Rey Juan Carlos, Madrid, Spain.

出版信息

Int J Nurs Pract. 2023 Jun;29(3):e13117. doi: 10.1111/ijn.13117. Epub 2022 Dec 7.

DOI:10.1111/ijn.13117
PMID:36478331
Abstract

AIMS

We aimed to investigate the perspective of primary care nurses on their role with patients who have chronic cardiovascular disease and to identify cultural elements shared by nurses caring for people with chronic cardiovascular disease. In primary care, the role of the nurse is essential to promote self-efficacy in cardiovascular self-care. Individuals with chronic cardiovascular disease need to integrate the disease into their life, together with the health recommendations for management and follow-up.

METHODS

A qualitative, focused ethnographic study was conducted. Purposeful sampling was used to include nurses who were working in primary care during the study. Data collection took place between 20 January and 20 May 2014 and consisted of semi-structured interviews. A thematic analysis was applied using the data.

RESULTS

Eleven participants were included. Cardiovascular care forces nurses to reflect on their identity and role in primary care. The relationship between the nurse and people with chronic cardiovascular disease is a complex process, which may cause nurses to feel a sense of failure and monotony in their work.

CONCLUSIONS

Our findings may help to understand the role of the nurse and the care provided in patients with chronic cardiovascular disease.

摘要

目的

我们旨在调查初级保健护士对其在慢性心血管疾病患者中的角色的看法,并确定护理慢性心血管疾病患者的护士所共有的文化元素。在初级保健中,护士的角色对于促进心血管自我护理的自我效能至关重要。患有慢性心血管疾病的个体需要将疾病融入他们的生活中,同时还需要遵循健康管理和随访的建议。

方法

进行了定性的、重点的民族志研究。采用目的性抽样,在研究期间纳入了在初级保健中工作的护士。数据收集于 2014 年 1 月 20 日至 5 月 20 日之间进行,包括半结构化访谈。使用数据进行了主题分析。

结果

纳入了 11 名参与者。心血管护理迫使护士反思他们在初级保健中的身份和角色。护士与慢性心血管疾病患者之间的关系是一个复杂的过程,这可能会使护士感到工作中的失败感和单调感。

结论

我们的研究结果可能有助于理解慢性心血管疾病患者的护士角色和提供的护理。

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