一项关于南非夸祖鲁-纳塔尔省伊泰夸尼地区一家选定医院以患者为中心的护理的横断面研究。

A cross-sectional study on patient-centered care in a selected hospital in eThekwini district, KwaZulu-Natal, South Africa.

作者信息

Peruma Marcel, Emmamally Waheedha, Mooi Mildred, Okafor Uchenna B

机构信息

Department of Nursing Science, College of Science, University of KwaZulu-Natal, Westville, South Africa.

Department of Nursing Science, Faculty of Health Sciences, Walter Sisulu University, Mthatha, South Africa.

出版信息

Health SA. 2025 Mar 31;30:2913. doi: 10.4102/hsag.v30i0.2913. eCollection 2025.

DOI:10.4102/hsag.v30i0.2913

PMID:40183025

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11966697/

Abstract

BACKGROUND

Clinical healthcare reform demands high-quality patient care, especially in emergencies. Patient-centred care (PCC) prioritises therapy based on health, characteristics, and needs.

AIM

This study examines critical care nurses' views on PCC in a hospital in eThekwini, KwaZulu-Natal.

SETTING

The study was conducted at a selected tertiary care facility in eThekwini district, KwaZulu-Natal, South Africa.

METHODS

This cross-sectional study examined 119 conveniently selected critical care nurses from five units treating critically ill adult patients in a central tertiary care hospital in eThekwini district, KwaZulu-Natal, South Africa. Personified patient care was measured using the Individualised Care Scale (ICS).

RESULTS

The mean values for nurse-supported customised care ranged from 4.27 ± 0.66 to 4.44 ± 0.61. Fear and anxiety during patient discussions have the highest mean score (4.44 ± 0.61). The mean values for four personal life statements were 4.22 ± 0.72 to 4.29 ± 0.65. Hospitalisation experience was surveyed by 90.8% of people, with a mean score of 4.29 ± 0.61. Patients' desire to understand their illness was surveyed by nurses (91.60%) with a mean score of 4.39 ± 6.39. The majority (94.9%) of nurses encouraged patients to express care preferences, whereas 85.8% were inquired about their preferred bathing time. The majority (59.70%) scored average, while 38.70% high.

CONCLUSION

Patient-centred care support was average among critical care nurses. Training and education in critical care should emphasise PCC. To strengthen PCC in clinical practice, execute PCC activities regularly.

CONTRIBUTION

The study revealed PCC actions and indicated critical care nurses' average support.

摘要

背景

临床医疗改革要求提供高质量的患者护理，尤其是在紧急情况下。以患者为中心的护理（PCC）根据患者的健康状况、特征和需求对治疗进行优先排序。

目的

本研究考察了夸祖鲁 - 纳塔尔省伊泰夸尼市一家医院的重症护理护士对PCC的看法。

地点

该研究在南非夸祖鲁 - 纳塔尔省伊泰夸尼区一家选定的三级护理机构进行。

方法

这项横断面研究调查了从南非夸祖鲁 - 纳塔尔省伊泰夸尼区一家中心三级护理医院的五个治疗成年重症患者的科室中方便选取的119名重症护理护士。使用个性化护理量表（ICS）来衡量个性化患者护理。

结果

护士支持的定制护理平均值在4.27±0.66至4.44±0.61之间。患者讨论期间的恐惧和焦虑得分最高（4.44±0.61）。四条个人生活陈述的平均值在4.22±0.72至4.29±0.65之间。90.8%的人对住院经历进行了调查，平均得分4.29±0.61。护士对患者了解自身疾病愿望的调查比例为91.60%，平均得分4.39±6.39。大多数护士（94.9%）鼓励患者表达护理偏好，而85.8%的护士询问了患者偏好的洗澡时间。大多数（59.70%）得分中等，38.70%得分高。