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Journal of Nursing ›› 2019, Vol. 26 ›› Issue (9): 6-9.doi: 10.16460/j.issn1008-9969.2019.09.006

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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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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

CLC Number: 

  • R47
[1] 董凤齐. 灵性照护在终末期癌症患者中的研究进展[J].护士进修杂志,2015,30(20):1853-1856.
[2] Aldwin C M, Park C L, Jeong Y, et al.Differing Pathways between Religousness, Spirituality, and Health: A Self-regulation Perspective[J]. Psycholog Relig Spiritual,2014,6(1):9-21. DOI:10.1037/a0034416.
[3] Daleman T P, Reed D, Cohen L W, et al.Development and Preliminary Testing of the Quality of Spiritual Care Scale[J]. J Pain Symptom Manage,2014,47(4):793-800. DOI:10.1016/j.jpainsymman.2013.06.004.
[4] 魏春岚,方琼,袁长蓉.口服化疗乳腺癌患者灵性需求和照护的真实体验[J]. 解放军护理杂志,2015,32(11):1-5.DOI:10.3969/j.issn.1008-9993.2015.11.001.
[5] 中华医学会心血管病学分会,《中华心血管病杂志》编辑委员会.慢性心力衰竭诊断治疗指南[J].中华心血管病杂志,2014,42(2):98-99.
[6] 贾艳岭,李金祥.灵性照护与晚癌患者宁养服务[C].青岛:第八届全国癌症康复与姑息医学大会,2012.
[7] Watson M, Kissane D.Handbook of Psychotherapy in Cancer Care[M].West Sussex:John Wiley Sons, Ltd,2011:79-88.
[8] 何嫚. 灵性照护在晚期肿瘤患者中的研究进展[J].护理学杂志, 2017, 32(13):102-105.DOI:10.3870/j.issn.1001-4125.2017.13.102.
[9] Gillilan R.Spiritual Distress and Spiritual Care in Advanced Heart Failure[J]. Heart Fail Rev,2017,22(5):581-591.DOI: 10.1007/s10741-017-9635-2.
[10] Hagen J, Knizek B L, Hjelmeland H.Former Suicidal Inpatients' Experiences of Treatment and Care in Psychiatric Wards in Norway[J]. Int J Qual Stud Health Well-being.2018,13(1):1461514.DOI:10.1080/17482631.2018.1461514.
[11] White M L, Schim S M.Development of a Spiritual Self-care Practice Scale[J]. J Nurs Meas, 2013, 21(3):450-462.DOI:10.1891/1061-3749.21.3.450.
[12] 刘星,孙向红,范玲.国内外晚期癌症患者灵性照护及启示[J].护理学报,2018,25(19):23-28. DOI:10.16460/j.issn1008-9969.2018.19.023.
[13] 周晓楠. 基于专家访谈的心力衰竭患者缓和医疗照护服务内容要素的本土化探讨[J]. 护理学报, 2018,25(1):5-9. DOI:10.16460/j.issn1008-9969.2018.01.005.
[14] Ross L, Austin J.Spiritual Needs and Spiritual Support Preferences of People with End-stage Heart Failure and Their Carers: Implications for Nurse Managers[J]. J Nurs Manag, 2013, 23(1):87-95. DOI:10.1111/jonm.12087.
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