Klysing Lina, Larsson Ingrid, Westberg Katrin Häggström
School of Health and Welfare, Halmstad University, Halmstad, Sweden.
Affecta Psychiatric Clinic, Halmstad, Sweden.
BMC Nurs. 2025 Mar 14;24(1):287. doi: 10.1186/s12912-025-02943-y.
Patients suffering from treatment-resistant depression may be treated with nasal esketamine. The treatment requires administration in a healthcare facility and monitoring by a nurse. Existing research has mainly focused on the clinical effect of nasal esketamine, while less is known about patients' experiences of treatment. A person-centred framework provides valuable insights into care and treatment. By using person-centredeness, the patient turns into a respected contributor in the delivery of care, enabling improved outcomes, better use of resources, reduced costs and increased satisfaction with care. Thus, the aim was to explore patients' experiences of treatment with nasal esketamine utilizing the person-centred nursing framework by McCormack and McCance.
The study had a qualitative design with an abductive approach. Twenty patients with treatment-resistant depression who had received at least eight treatments of nasal esketamine were interviewed. A thematic analysis was conducted, based on the four constructs of PCC: prerequisites, care environment, person-centred process and expected outcomes. The analysis generated 11 subthemes, reflecting the contextuality of the PCC nursing framework.
The results highlighted the importance of working in a person-centred manner to achieve increased patient satisfaction and treatment outcomes. Patients highlighted the importance of relationships with competent and engaged nurses and a supportive care environment for treatment outcomes. The physical care environment influenced patients' well-being, and organizational aspects, such as continuity of staff, flexibility, and being allowed a private space, were also crucial during esketamine treatment. These aspects fostered feelings of security and contributed to achieving the desired outcome.
This study identified that key aspects of PCC; competent nurses and respect for the patient, comfort and personalization of the care environment, support and involvement are important in ensuring patient satisfaction, quality and ultimately the desired treatment outcomes in esketamine treatment. By adopting a person-centred approach, nurses can increase patient well-being and the quality of care in nasal esketamine treatment.
Not applicable.
难治性抑郁症患者可使用鼻内艾氯胺酮进行治疗。该治疗需要在医疗机构进行，并由护士进行监测。现有研究主要集中在鼻内艾氯胺酮的临床疗效上，而对患者的治疗体验了解较少。以患者为中心的框架为护理和治疗提供了有价值的见解。通过以患者为中心，患者在护理过程中成为受尊重的参与者，从而能够改善治疗效果、更好地利用资源、降低成本并提高对护理的满意度。因此，本研究旨在利用麦科马克和麦坎斯的以患者为中心的护理框架，探索患者使用鼻内艾氯胺酮的治疗体验。
本研究采用定性设计和归纳法。对20名接受过至少8次鼻内艾氯胺酮治疗的难治性抑郁症患者进行了访谈。基于以患者为中心的护理的四个要素：前提条件、护理环境、以患者为中心的过程和预期结果，进行了主题分析。分析产生了11个副主题，反映了以患者为中心的护理框架的情境性。
结果强调了以患者为中心开展工作对于提高患者满意度和治疗效果的重要性。患者强调了与有能力且敬业的护士建立关系以及支持性护理环境对治疗效果的重要性。物理护理环境影响患者的幸福感，而诸如工作人员的连续性、灵活性以及拥有私人空间等组织方面，在艾氯胺酮治疗期间也至关重要。这些方面增强了安全感，并有助于实现预期结果。
本研究确定，以患者为中心的护理的关键要素，即有能力的护士、对患者的尊重、护理环境的舒适性和个性化、支持与参与，对于确保患者满意度、护理质量以及最终在艾氯胺酮治疗中实现预期治疗效果非常重要。通过采用以患者为中心的方法，护士可以提高患者的幸福感和鼻内艾氯胺酮治疗的护理质量。
不适用。
