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[舒适对长期住院患者的意义 舒适对慢性住院患者的意义]

[Significance of comfort for chronically hospitalized patientsSignificado do conforto para pacientes internados cronicamente].

作者信息

Cardozo García Yadira, Salazar Maya Ángela María, Escobar Ciro Carmen Liliana

机构信息

. Universidad de Antioquia, Medellín- Colombia. Email:

出版信息

Rev Cuid. 2021 Aug 20;12(3):e1915. doi: 10.15649/cuidarte.1915. eCollection 2021 Sep-Dec.

Abstract

INTRODUCTION

comfort, a quality of life component, seeks the preservation and recovery of health.

OBJECTIVE

was to understand the meaning of comfort in patients with chronic disease hospitalized in Medellin-Colombia.

MATERIAL AND METHODS

particularistic ethnographic research, with 14 participants, through semi-structured interviews and observation. Analysis was carried out with grounded theory tools, reading and rereading, data coding, and categories/ subcategories were generated until theoretical saturation through theoretical sampling.

RESULTS

Categories: Interacting with others: The partner on the side and The death of another. Interacting with the health care team: Attributes of care; and Between comfort and discomfort with caregivers. Elements: communication and information.

DISCUSSION

comfort is given in part by the interaction that patients have with the health care team, especially with nursing. It was also understood what generates comfort and discomfort in patients. Personal attributes such as empathy, professional skills and the use of appropriate language are the most frequently mentioned. Likewise, information and communication are vital in the perception of comfort.

CONCLUSIONS

the meaning that patients attribute to comfort is given by the interaction with the healthcare team, their personal attributes and the information provided about their health status and evolution as well as the effects of their treatment. Among those that cause discomfort: not being listened to, the negative attitude of the nursing staff, not attending to their call in a timely manner and witnessing the death of a partner.

摘要

引言

舒适作为生活质量的一个组成部分,旨在维护和恢复健康。

目的

旨在了解哥伦比亚麦德林市住院慢性病患者对舒适的理解。

材料与方法

采用特殊民族志研究方法,对14名参与者进行半结构化访谈和观察。运用扎根理论工具进行分析,通过反复阅读、数据编码,进行理论抽样直至理论饱和,从而生成类别/子类别。

结果

类别:与他人互动:身边的伴侣和他人的死亡。与医护团队互动:护理的属性;以及在舒适与对护理人员的不适之间。要素:沟通与信息。

讨论

患者与医护团队,尤其是与护理人员的互动在一定程度上给予了舒适感。同时也了解到了在患者中产生舒适和不适的因素。诸如同理心、专业技能和使用恰当语言等个人属性被提及得最为频繁。同样,信息和沟通在舒适感的感知中至关重要。

结论

患者赋予舒适的意义源于与医护团队的互动、他们的个人属性以及所提供的关于其健康状况、病情进展以及治疗效果的信息。其中导致不适的因素包括:未被倾听、护理人员的消极态度、未及时响应他们的呼叫以及目睹伴侣的死亡。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df41/11457930/52345d8ec273/2346-3414-cuid-12-03-e1915-gch1.jpg

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