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任何护士都可以通过冠心病监护病房的经历来防止人性的丧失。

Any nurse can prevent dehumanization by the CCU experience.

作者信息

Cox M K

出版信息

Aviat Space Environ Med. 1977 Jun;48(6):568-70.

PMID:869846
Abstract

This presentation deals with the Air Force Nurse as a movice assigned to a CCU area and her contributions to patient care as a member of the Air Force Health Care Team. The novice nurse's contributions to the patients care lie in her ability to manage expected behavioral responses to the CCU experience even with a basic working knowledge of normal sinus rhythm and CPR procedure. The expected responses to the CCU expereince discussed are: anxiety, denial, depression, and aggressive sexual behavior. These usual behavioral responses have, at times, been referred to as "a disease of medical progress" or the so-called "intensive care syndrome". The nurse is in a key position to observe the patient's behavioral responses since she spends most of the time with the patient. When these behavioral patterns are considered as part of a normal patterns of adaptation, the nurse can utilize these for effective management of the patient's hospitalization experience as well as an indicator to the patient standpoint in his process of adaptation. It would be wise to mention that the detailed manifestations and primary causes of these behavioral responses should be part of the nurse's working knowledge and can be easily referred to in recent texts on coronary care nursing. The presentation progresses to specific discussion on nursing intervention of the behavioral responses. In summary, the Air Force novice nurse to a CCU area can be an equally contributory member on the Health Care Team if not compelled to place an exaggerated amount of attention on equipment, but focus more on the patient, leaving more technical learning until she becomes more aware of the unit administration and has the opportunity to attend a coronary training course.

摘要

本报告探讨了被分配到冠心病监护病房(CCU)区域的空军护士,以及她作为空军医疗团队成员对患者护理所做的贡献。这位新手护士对患者护理的贡献在于,即使只具备正常窦性心律和心肺复苏程序的基本工作知识,她也有能力应对患者在CCU经历中预期出现的行为反应。文中讨论的患者对CCU经历的预期反应包括:焦虑、否认、抑郁和攻击性行为。这些常见的行为反应有时被称为“医学进步的疾病”或所谓的“重症监护综合征”。护士处于观察患者行为反应的关键位置,因为她大部分时间都与患者在一起。当这些行为模式被视为正常适应模式的一部分时,护士可以利用它们来有效地管理患者的住院体验,以及作为了解患者适应过程中立场的一个指标。值得一提的是,这些行为反应的详细表现和主要原因应成为护士工作知识的一部分,并且在最近的冠心病护理文献中很容易查阅到。报告进而对这些行为反应的护理干预进行了具体讨论。总之,如果不被迫过度关注设备,而是更多地关注患者,将更多的技术学习留到她对病房管理有更多了解并有机会参加冠心病培训课程之后,那么分配到CCU区域的空军新手护士可以成为医疗团队中同样有贡献的一员。

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