Kirk K
Rehabil Nurs. 1993 Mar-Apr;18(2):99-104. doi: 10.1002/j.2048-7940.1993.tb00730.x.
Chronically ill patients' perceptions of nursing care are particularly significant because such patients are more likely than others to have repeated and extended contact with nurses. Knowledge of which nursing interactions are perceived positively by the chronically ill can help nurses provide care that is satisfying to the patient. This phenomenological study found the definitive factor in positively perceived care to be the development and maintenance of confidence. The informants believed they would be well cared for and that the nurses were reliable and trustworthy. The respect and interest shown by the nurses reassured the informants that they were capable of coping with the future to the best of their abilities. Most informants felt unprepared to judge the nurses' competence but described a caring, compassionate approach combined with gentle handling, self-assurance, and recognition of the patient's own knowledge as contributing to confidence. Management of pain, facilitation of independence, and keeping the patient informed also were valued.
慢性病患者对护理的看法尤为重要，因为这类患者比其他人更有可能与护士进行反复且长时间的接触。了解慢性病患者对哪些护理互动有积极看法，有助于护士提供令患者满意的护理。这项现象学研究发现，积极护理的决定性因素是信任的建立与维持。受访者认为他们会得到妥善照顾，护士可靠且值得信赖。护士表现出的尊重和关心让受访者放心，相信自己有能力尽最大努力应对未来。大多数受访者觉得没有能力评判护士的能力，但描述了一种关怀、富有同情心的方式，以及轻柔的护理、自信和对患者自身知识的认可有助于建立信任。疼痛管理、促进独立以及让患者了解情况也受到重视。
