Farokhi Shima, Azizi Azim, Khodaveisi Masoud, Mohammadi Eesa, Oshvandi Khodayar
Student Research Committee, Hamadan University of Medical Sciences, Hamadan, Iran.
Chronic Diseases (Home Care) Research Center, Institute of Cancer, Avicenna Health Research Institute, Hamadan University of Medical Sciences, Hamadan, Iran.
Bull Emerg Trauma. 2025;13(1):37-46. doi: 10.30476/beat.2025.104692.1555.
This study aimed to identify strategies for enhancing the quality of home care for trauma patients.
Using a conventional qualitative content analysis approach, this study was conducted from September 2023 to September 2024 in Hamadan, located in northwest Iran. A total of 18 participants, including home care managers, nurses, trauma patients, and the family members of trauma patients, were selected through purposive sampling. Data were collected using semi-structured interviews and analyzed using Graneheim and Lundman's method with the assistance of MAXQDA software (version 20).
Analysis of the data yielded 430 initial codes, which were categorized into 36 subcategories and 6 main categories: patient-centered care, safe care provision, spiritual care, effective educational program development, service effectiveness enhancement, and dynamic service delivery.
The study results showed that nurses employed various strategies to improve the quality of home care services for trauma patients. Key strategies included adhering to the principle of patient-centered care, providing safe care for trauma patients, providing spiritual care, developing effective educational programs, enhancing service effectiveness, and ensuring dynamism in service delivery. Implementing these strategies could guide policymakers and home care nurses to improve care quality for trauma patients and increase satisfaction. The findings of the present study can enhance the planning and implementation of home care services, facilitating the transition from hospital to home for trauma patients.
本研究旨在确定提高创伤患者家庭护理质量的策略。
采用传统的定性内容分析法，本研究于2023年9月至2024年9月在伊朗西北部的哈马丹进行。通过目的抽样共选取了18名参与者，包括家庭护理管理人员、护士、创伤患者以及创伤患者的家庭成员。使用半结构化访谈收集数据，并在MAXQDA软件（20版）的协助下采用格兰海姆和伦德曼的方法进行分析。
对数据的分析产生了430个初始代码，这些代码被归类为36个子类别和6个主要类别：以患者为中心的护理、安全护理提供、精神护理、有效的教育项目开发、服务效果提升和动态服务提供。
研究结果表明，护士采用了各种策略来提高创伤患者家庭护理服务的质量。关键策略包括坚持以患者为中心的护理原则、为创伤患者提供安全护理、提供精神护理、开发有效的教育项目、提高服务效果以及确保服务提供的动态性。实施这些策略可以指导政策制定者和家庭护理护士提高创伤患者的护理质量并提高满意度。本研究的结果可以加强家庭护理服务的规划和实施，促进创伤患者从医院到家庭的过渡。
