Heikkilä J, Paunonen M, Laippala P, Virtanen V
Department of Nursing Science, University of Tampere, Jämsä College of Health Professions, Finland.
J Adv Nurs. 1998 Dec;28(6):1225-35. doi: 10.1046/j.1365-2648.1998.00852.x.
This study describes the congruence of the perceptions of 180 patient-nurse dyads concerning patients' fears related to coronary arteriography (CA). The perceptions were measured with a purpose-designed instrument which listed 26 objects of fear. t-Tests and chi-square tests were used to compare the responses and the associations with demographic data. The results pointed to inconsistencies between patients' and nurses' perceptions. Nurses and patients had congruent perceptions of the 10 most intense fears related to CA. Otherwise nurses tended to overestimate patients' fears. Nurses' perceptions of the intensity of individual patients' fears were incongruent so that before CA there was a tendency to overestimate the intensity of fears and after CA to underestimate it. The results suggest that nurses need to pay more attention to the assessment of individual patients' fears and to avoid stereotypical views of patient fears. The use of an assessment instrument is recommended as one way of enhancing the quality of care.
本研究描述了180对患者-护士组合对患者与冠状动脉造影术（CA）相关恐惧的认知一致性。使用专门设计的工具测量认知，该工具列出了26种恐惧对象。采用t检验和卡方检验来比较回答以及与人口统计学数据的关联。结果表明患者和护士的认知存在不一致。护士和患者对与CA相关的10种最强烈恐惧有一致的认知。否则，护士往往会高估患者的恐惧。护士对个体患者恐惧强度的认知不一致，以至于在CA之前有高估恐惧强度的倾向，而在CA之后则有低估的倾向。结果表明，护士需要更加关注对个体患者恐惧的评估，并避免对患者恐惧的刻板看法。建议使用评估工具作为提高护理质量的一种方式。
