加护病房的临终关怀及护理人员在与家属沟通中的角色。

Pub Date : 2023-04-01 DOI:10.2478/jccm-2023-0013
Anastasios Tzenalis, Helen Papaemmanuel, George Kipourgos, George Elesnitsalis
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引用次数: 0

摘要

引言:重症监护病房的专业人员面临死亡,在临终管理中,他们的角色从治疗师转变为护理者。护理对死亡的态度和反应已被证明会影响作为相互关联服务的姑息治疗和临终服务的质量。研究目的:本研究的目的是评估ICU护士对重症患者家属护理的专业态度,导致具体态度的出现,并将其与人口统计学和专业特征联系起来,目的是得出结论,以提高临终关怀的质量。材料与方法:以某大型三级医院81名护士为研究对象。参与者填写了“护士与家庭沟通活动”问卷。这些问题是关于护士在病人住ICU期间如何帮助病人的家人。结果:结果显示护士对患者家属的信息和心理支持采取了相关行动。相反,他们没有关注病人的精神/宗教需求和基于其文化背景的家庭需求。结论:医护人员的专业治疗特点是同情心和同理心,但有必要对他们进行涉及多样性的重要问题的培训,包括患者及其亲属的宗教、精神价值观和信仰。
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End-of-life Care in the Intesive Care Unit and Nursing Roles in Communicating with Families.

Introduction: Professionals in Intensive Care Units face death, shifting their role from therapists to caregivers in end-of-life management. The nursing attitude and response to death has been shown to affect the quality of palliative care and end-of-life services that are interrelated services.

Aim of the study: The aim of this research was to evaluate the professional attitude of nurses towards the care of the families of critically ill patients in the ICU, leading to the emergence of specific attitudes, relating them to their demographic and professional characteristics, with the aim of drawing conclusions for the improvement of quality in end-of-life care.

Material and methods: The sample of the study was 81 nurses from a large tertiary hospital. Participants completed the "Nurse Activities for Communicating with Families" (NACF) questionnaire. The questions are about ways in which nurses can help the patient's family during the patient's stay in the ICU.

Results: The results revealed that the nurses took actions related to the information and psychological support of the patient's family. On the contrary, they did not focus on the spiritual / religious needs of the patient and the needs of the family based on their cultural background.

Conclusions: The professional treatment of staff is characterized by compassion and empathy, but it is necessary to train them on important issues related to diversity, including the religious, spiritual values and beliefs of patients and their relatives.

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