How patients with diabetes who have foot and leg ulcers perceive the nursing care they receive.

How patients with diabetes who have foot and leg ulcers perceive the nursing care they receive.
复制标题

患有足部和腿部溃疡的糖尿病患者如何看待他们所接受的护理。

DOI:
10.12968/jowc.2004.13.2.26578
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发表时间:
2004
影响因子:
1.9
通讯作者:
A. Wahl
A. Wahl
中科院分区:
医学4区
文献类型:
--
作者:
L. Ribu;A. Wahl

文献摘要

被引文献

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目的 这项挪威研究旨在探讨患有足部和/或腿部溃疡的糖尿病患者所经历的护理。 方法 采用质性研究方法,深入记录访谈的病人住在家里,接受地区护理。7名患者在家中接受了45分钟至2小时的采访。采访转录和分析使用Kvale的主题和意义分析。 结果 几个主题出现了,即使样本不是一个同质的群体:专家患者(病人获得有关治疗的知识,然后将其传递给新的和没有经验的护士);分散的护理(由于护理缺乏连续性而引起的);非个人护理(护士不把病人看作一个个体,而只关注他们的伤口);理想的护士(护理属性的病人最重视的,如与他们接触,并试图了解他们的情况)。 结论 成功治疗患有足部和/或腿部溃疡的糖尿病患者的关键是了解他们对溃疡的感受及其对生活质量的影响。建议在这一领域开展进一步研究。
OBJECTIVE This Norwegian study set out to explore the nursing care experienced by patients with diabetes who have a foot and/or leg ulcer. METHOD A qualitative method was used, with in-depth recorded interviews of patients living at home and receiving district nursing care. Seven patients were interviewed at home for 45 minutes to two hours. Interviews were transcribed and analysed using Kvale's thematic and meaning analysis. RESULTS Several themes emerged, even though sample was not a homogeneous group: the expert patient (where patients acquired knowledge about their treatment and then passed this on to new and inexperienced nurses); fragmented nursing care (caused by lack of continuity in care); impersonal nursing care (where nurses did not view the patient as an individual, but focused solely on their wound); the ideal nurse (nursing attributes the patients valued most highly, such as engaging with them and attempting to understand their situation). CONCLUSION Crucial to the successful treatment of patients with diabetes who have foot and/or leg ulcers is an understanding of their feelings about their ulcer and its impact on their quality of life. Further research in this area is recommended.