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护理学报 ›› 2019, Vol. 26 ›› Issue (9): 6-9.doi: 10.16460/j.issn1008-9969.2019.09.006

• 研究生园地 • 上一篇    下一篇

老年慢性心力衰竭患者居家期间灵性照护需求及照护体验的研究

刘爽1, 朱路路2, 王晓云3a, 张沁莲3b   

  1. 1.山西中医药大学 护理学院,山西 太原 030024;
    2.河北医科大学第一医院 中西医结合肾内科,河北 石家庄 050031;
    3.山西省人民医院 a.内分泌科;b.院感科,山西 太原 030012
  • 收稿日期:2018-12-10 发布日期:2020-07-17
  • 通讯作者: 王晓云（1971-）,女,山西太原人,本科学历,主任护师,护士长。E-mail:dxdwxy@163.com
  • 作者简介:刘 爽（1991-）,女,河北唐山人,本科学历,硕士研究生在读。

Spiritual Care Needs and Home Care Experience of Elderly Patients with Chronic Heart Failure

LIU Shuang1, ZHU Lu-lu2, WANG Xiao-yun, ZHANG Qin-lian   

  1. 1. School of Nursing, Shanxi University of Chinese Medicine, Taiyuan 030024, China;
    2. Dept. of Integrated Traditional Chinese and Western Medicine Nephrology, the First Hospital of Hebei Medical University, Shijiazhuang 050031, China;
    3a. Dept. of Endocriology;
    3b. Dept. of Nosocomial Infection, Shanxi Provicial People's Hospital, Taiyuan 030012, China
  • Received:2018-12-10 Published:2020-07-17

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摘要： 目的 深入探讨在延续护理模式下老年慢性心力衰竭患者居家期间的灵性照护需求及照护体验,为临床护理提供依据。方法 应用质性研究中的现象学方法,对12例老年慢性心力衰竭患者进行访谈,运用Colaizzi现象学分析法进行资料分析,并提炼主题。结果 灵性照护需求主题：（1）找回选择权力;（2）回归角色统一;（3）提升尊严;（4）重拾生命意义。照护体验主题：（1）渴望开通24 h家庭访视和电话访问服务;（2）期待护理协调员的动态支持;（3）向往志愿帮扶活动。结论 老年慢性心力衰竭患者居家期间应该满足其灵性照护需求,医护人员应提供24 h动态咨询服务,充分发挥护理协调员作用,并激活社会支持系统,共同助力老年慢性心力衰竭患者健康养老,安度晚年。

关键词: 灵性需求, 灵性照护, 慢性心力衰竭, 质性研究

Abstract: Objective To explore in depth spiritual care needs and home care experience of elderly patients with chronic heart failure (CHF) in the mode of extended nursing, and to provide evidence for clinical care. Methods The phenomenological methods in qualitative research were used to interview 12 elderly patients with CHF and the Colaizzi phenomenological analysis method was used to analyze the data and extract the theme. Results Four themes of spiritual care needs were extracted including to regain the choice of power; to return to the role of unity; to promote dignity and to regain the meaning of life. Care experience covered the aspescts as follows: eager for 24-hour home visits and telephone access services; dynamic support from care coordinators and yearning for volunteer support activities. Conclusion Spiritual care needs of elderly patients with CHF should be satisfied during their home staying. Full play of the role of nursing coordinator, 24-hour dynamic counseling services from medical staff, and social support system will jointly help the elderly with CHF to maintain their health.

Key words: spiritual need, spiritual care, chronic heart failure, qualitative research

中图分类号: 

  • R47
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