Gonzalez E W, Walker D, Krupnick S
Allegheny University of the Health Sciences, Philadelphia, USA.
Crit Care Nurs Clin North Am. 1998 Sep;10(3):315-26.
Nurses with critical care knowledge and experience increasingly provide technologically advanced care to patients at home who often present comorbid psychiatric symptoms. Failure to accurately recognize and provide appropriate intervention can be devastating for patients because these symptoms can exacerbate the medical condition and may lead to mortality. The Biopsychosocial Model and the Transactional Model of Stress were presented as guides for nursing practice. Practice is directed at 1) understanding the patient's perception of events, 2) involving the caregiver(s) in the patient's recovery, and 3) enhancing the individual's adaptive coping efforts and resources. The article attempts to guide nurses in making decisions on when to consult and collaborate with an APPN to achieve desired patient outcomes.
具备重症护理知识和经验的护士越来越多地为家中患有多种共病精神症状的患者提供技术先进的护理。如果不能准确识别并提供适当干预，对患者可能是灾难性的，因为这些症状会加重病情，甚至可能导致死亡。文章介绍了生物心理社会模型和压力的交互模型，作为护理实践的指导。实践旨在：1）理解患者对事件的认知；2）让护理人员参与患者康复过程；3）增强个体的适应性应对努力和资源。本文旨在指导护士决定何时咨询和与高级实践精神病护理护士（APPN）协作，以实现理想的患者治疗效果。
