Actual nursing practice by proficient nurses for elderly myocardial infarction patients and problems with self-care
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概要
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Purpose : The study was conducted to ascert ain what was actually done for elderly myocardi al infarction(hereafter MI) patients by proficient nurses and to identify problems with selficare that they encounteredin their daily nursing practice. Methods: A focus-group interview was carried out on proficient nursesin two hospitals. The interview was recorded and later transcribed for inductive qualitative analysis.Results : Content-wise problems with selficare that proficient nurses encountered in their nursing carewere related to the issues of a low-salt diet, medication management, and activities, whereas method-wiseproblems were related to the issues of a decline in understanding and cognitive abilities, family functions,and continuity of nursing. The major place of nursing for patients was the hospital ward (treatmentright after MI). Out of the features categorized into 1 5 extracted from my preceding study, the categoriesthat were frequently confirmed by both groups were: "Patient!s anxiety about recurrence," "Reductionin the level and scope of activities," and "Observation of the process up to coronary angiography afterleaving hospital." This study added three categories as to issues in continuous nursing. Conclusions :In order to cope with difficulties in supporting elderly patients who had selficare problems in a limitedperiod of hospitalization, important were the continuity of nursing in the ward, the outpatient depart-ment and a hospital stay for examination, and coordination with people in other domains such asregistered dieticians and pharmacists.
- 2011-08-01
論文 | ランダム
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