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确定球囊血管成形术患者的感知学习需求。

Identification of the perceived learning needs of balloon angioplasty patients.

作者信息

Brezynskie H, Pendon E, Lindsay P, Adam M

机构信息

University of Ottawa Heart Institute.

出版信息

Can J Cardiovasc Nurs. 1998;9(2):8-14.

PMID:9801514
Abstract

Percutaneous transluminal coronary angioplasty (PTCA) is currently well recognized as a successful treatment for some coronary artery occlusions. Minimal research is available in the literature related to the identification of the perceived learning needs of the PTCA patient population. The first objective of this study was to identify what patients' view as their learning needs when undergoing PTCA. Secondly, this study sought to compare the patients' view to the perceptions of cardiac nurses about the learning needs of PTCA patients. Two hundred and fifty-one patients and thirty-three nurses completed a PTCA Learning Needs Inventory (PTCALNI). Both the patients and the nurses scored all items "moderately" to "very important" to learn. The items "need to know the results of my angioplasty," "what to do if my heart symptoms come back," and "what lifestyle changes are needed to prevent future build-up in my arteries" were among the highest scored items for both groups. As the length of stay for angioplasty patients decreases, in-hospital education for this population must be streamlined to concisely and efficiently address the learning needs identified by patients as most important to know in relation to having a balloon angioplasty. Therefore, as a result of this survey, nurses can feel satisfied that by focusing their time on topics identified as most important, they will have met most of the educational priorities for angioplasty patients.

摘要

经皮腔内冠状动脉成形术(PTCA)目前已被公认为是治疗某些冠状动脉闭塞的成功方法。关于确定PTCA患者群体的感知学习需求,文献中相关研究极少。本研究的首要目标是确定患者在接受PTCA时认为自己的学习需求是什么。其次,本研究旨在将患者的看法与心脏科护士对PTCA患者学习需求的认知进行比较。251名患者和33名护士完成了一份PTCA学习需求问卷(PTCALNI)。患者和护士对所有项目的学习评分均为“中等”至“非常重要”。“需要知道血管成形术的结果”“如果心脏症状复发该怎么做”以及“需要做出哪些生活方式改变以防止未来动脉堵塞”等项目在两组中得分最高。随着血管成形术患者住院时间的缩短,针对该群体的院内教育必须精简,以便简洁高效地满足患者确定的与接受球囊血管成形术相关的最重要的学习需求。因此,根据这项调查结果,护士可以放心,通过将时间集中在被确定为最重要的主题上,他们将满足血管成形术患者的大多数教育优先事项。

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