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危重症患者的护理体验及其对人格的影响:一项回顾性研究。

Critically ill patients' experiences of nursing care and the effect on their personhood: A retrospective study.

机构信息

Centre of AAC, University of Pretoria, Hatfield, South Africa.

University of South Africa, Pretoria, South Africa.

出版信息

Nurs Open. 2023 Oct;10(10):6903-6911. doi: 10.1002/nop2.1944. Epub 2023 Jul 24.

Abstract

AIM

This study aims to report patients' experiences of nursing care in the critical care unit and the resulting effect of such care on the personhood of patients.

DESIGN AND METHOD

The study adopted a qualitative design and aimed to include both descriptive and exploratory information. It involved a single participant group comprising ten previously critically ill patients with whom retrospective, semi-structured interviews were conducted in a natural setting during 2018. Private hospitals in Gauteng, South Africa, were targeted for data collection.

RESULTS

The findings of this study were categorised and described according to Kitwood's conceptualisation of person-centred care. Five categories were identified by patients as impacting their personhood and perceived person-centred care.

CONCLUSION

Nurses ability to support perceived personhood of patients during person-centred care is integral to the betterment of the patient. Patient's experiences of nursing care can often be affected if they perceive their personhood as not being valued by nurses. This study creates increased awareness of these components to ensure that patient-nurse relationships are established adequately to meet both the patients' and the nurses' needs.

摘要

目的

本研究旨在报告患者在重症监护病房的护理体验,以及这种护理对患者人格的影响。

设计和方法

该研究采用定性设计,旨在包括描述性和探索性信息。它涉及一个由十名以前患有重病的患者组成的单一参与者组,在 2018 年期间,在自然环境中对他们进行了回顾性、半结构化访谈。研究的目标是在南非豪登省的私人医院收集数据。

结果

本研究的结果根据基特伍德的以人为中心的护理概念进行了分类和描述。患者确定了五个类别,这些类别影响他们的人格和感知的以人为主的护理。

结论

护士在以人为中心的护理中支持患者感知的人格能力对于改善患者状况至关重要。如果患者认为自己的人格没有得到护士的重视,他们对护理的体验往往会受到影响。本研究提高了对这些组成部分的认识,以确保建立充分的医患关系,满足患者和护士的需求。

相似文献

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Personhood and dementia: revisiting Tom Kitwood's ideas.人格与痴呆:重访汤姆·基特伍德的思想。
Int J Older People Nurs. 2008 Mar;3(1):3-13. doi: 10.1111/j.1748-3743.2007.00103.x.

本文引用的文献

1
The trouble with personhood and person-centred care.人格和以患者为中心的护理的问题。
Nurs Philos. 2022 Jul;23(3):e12381. doi: 10.1111/nup.12381. Epub 2022 Apr 13.

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