中华护理杂志 ›› 2022, Vol. 57 ›› Issue (11): 1345-1350.DOI: 10.3761/j.issn.0254-1769.2022.11.010
收稿日期:
2021-10-30
出版日期:
2022-06-10
发布日期:
2022-06-15
通讯作者:
李峥,E-mail: zhengli@pumc.edu.cn作者简介:
马睛雅:女,硕士(博士在读),E-mail: majingyaa@163.com
MA Jingya(), WANG Dou, ZHANG Huan, ZHANG Jie, WANG Haiyan, LI Zheng()
Received:
2021-10-30
Online:
2022-06-10
Published:
2022-06-15
摘要:
目的 深入了解长期护理轻度认知障碍(mild cognitive impairment,MCI)患者的护士对老年MCI患者参与临床决策的认知和建议,为促进医患共享决策提供参考。 方法 运用现象学研究法,于2020年11月—2021年2月选取13名长期护理MCI患者的护士进行半结构式深入访谈,采用Colaizzi 7步分析法对访谈资料进行分析。 结果 护士对老年MCI患者参与临床决策的认知可归纳为5个主题:①患者参与临床决策是尊重患者意愿的体现;②患者参与临床决策是综合提升护理质量的保障;③患者参与临床决策受其决策能力所限;④情绪消极应对状况影响患者参与临床决策;⑤患者参与临床决策在临床实施受阻。护士对老年MCI患者参与临床决策的建议可归纳为3个主题:①进一步激发患者的决策意识;②呼吁家属支持;③期望改善实施条件。 结论 医患共享决策具有重要的实践意义,但在临床实施中存在一定的阻碍。今后仍需加强患者的决策意识,培养护士的决策能力,完善医患共享决策的实施条件,以充分发挥护士的引导作用。
马睛雅, 王斗, 张欢, 张洁, 王海妍, 李峥. 护士对老年轻度认知障碍患者参与临床决策认知的质性研究[J]. 中华护理杂志, 2022, 57(11): 1345-1350.
MA Jingya, WANG Dou, ZHANG Huan, ZHANG Jie, WANG Haiyan, LI Zheng. Nurses’ perceptions of older patients with mild cognitive impairment participating in shared decision making:a qualitative study[J]. Chinese Journal of Nursing, 2022, 57(11): 1345-1350.
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