兰州市37例境外输入性不同文化背景新型冠状病毒肺炎患者的护理

doi:10.3761/j.issn.0254-1769.2020.06.007

摘要/Abstract

摘要：

目的分析应用跨文化护理理论护理37例境外输入性新型冠状病毒肺炎患者的具体措施和成效。方法 2020年3月5日—14日,对兰州市定点医院收治入境的37例新型冠状病毒肺炎患者应用Leininger跨文化护理理论分析具有多元文化特点的新型冠状病毒肺炎患者的护理问题,制订综合护理计划,尊重患者的信仰,经过精准的护理,确保满足患者住院期间的多方面的需求。结果应用跨文化护理理论满足37例患者的多元文化需求,治疗期间未发生配餐失误、祷告相关冲突及护理相关并发症,没有护理纠纷和投诉,在尊重患者宗教信仰的基础上,提高了患者配合治疗的依从性,提升了护理满意度。结论针对境外输入性不同文化背景新型冠状病毒肺炎患者,准确评估患者的需求,需注重提供多元的、基于文化需求的个性化的护理对患者康复具有重要作用。

关键词: 新型冠状病毒肺炎, 境外输入, 跨文化护理

Abstract:

Objective To analyze the specific therapeutic methods and their effects of 37 imported cases with coronavirus disease 2019（COVID-19） based on the cross-cultural nursing theory. Methods The problems of 37 imported COVID-19 patients with multi-cultural features were analyzed and solved through precise nursing care based on Leininger cross culture theory from March 5th 2020 to March 14th 2020 in a designated hospital in Lanzhou. A comprehensive care plan was formulated based on the respect of patients from the cross-cultural perspective,in order to meet patient needs during hospitalization. Results Based on the model of Leininger cross culture theory,we can meet the multicultural needs of patients,and there is no catering errors,prayer related conflicts,nursing related complications,and nursing disputes and complaints. On the basis of respecting patients’ religious belief,the compliance of patients with treatment and the nursing satisfaction were improved. Conclusion For imported ethnic patients with COVID-19,it is crucial to provide multi-cultural,personalized nursing care based on their cultural needs.

Key words: Coronavirus Disease 2019, Imported, Transcultural Nursing

张志刚, 蔡小林, 马芳丽, 吴雨晨, 陈可, 付晓燕, 贺菊芳, 魏花萍. 兰州市37例境外输入性不同文化背景新型冠状病毒肺炎患者的护理[J]. 中华护理杂志, 2020, 55(6): 837-840.

ZHANG Zhigang, CAI Xiaolin, MA Fangli, WU Yuchen, CHEN Ke, FU Xiaoyan, HE Jufang, WEI Huaping. Nursing care of 37 imported cases with coronavirus disease 2019 under cross-cultural background[J]. Chinese Journal of Nursing, 2020, 55(6): 837-840.

参考文献 21

[1]	贺勇, 干伟, 张玫, 等. 临床生化检验指标在COVID-19疾病进展及治疗中的应用评价[J]. 国际检验医学杂志, 2020,41(8):906-909.
[2]	韩琳, 马玉霞, 岳淑琴, 等. 西部地区新型冠状病毒肺炎防控中的护理人力资源管理[J]. 中华护理杂志, 2020,55(3):355-358.
[3]	梁燕, 康乃娟, 薛梅. 跨护理文化模式在少数民族地区医院的应用[J]. 护士进修杂志, 2019,34(23):2163-2164.
[4]	国家卫生健康委员会办公厅. 新型冠状病毒肺炎诊疗方案(试行第七版)[EB/OL].[2020-03-04]. http://www. nhc. gov. cn/yzygj/s7653p/202003/46c9294a7dfe4cef80dc7f5912eb1989. shtml.
[5]	黄玲玲, 郭佳, 丁云, 等. 文化调适在跨文化健康行为干预中的应用进展[J]. 中华护理杂志, 2017,52(5):613-617.
[6]	姜金霞, 李宏, 彭幼清, 等. 外籍患者护理服务需求调查研究[J]. 护理学杂志, 2013,28(24):58-60.
[7]	Caballero AE. Cultural competence in diabetes mellitus care:an urgent need[J]. Insulin, 2007,2(2):80-91. DOI URL
[8]	郑栋莲, 张米玮, 王艳, 等. 临床护士文化照护知信行现状及分析[J]. 中国护理管理, 2017,17(10):1360-1364.
[9]	周琳, 彭幼清, 俞海萍, 等. 临床护士多元文化护理能力培养的研究进展[J]. 中华护理教育, 2013,10(6):282-285.
[10]	van Osch M, van Dulmen S, van Vliet L, et al. Specifying the effects of physician’s communication on patients’ outcomes:a randomised controlled trial[J]. Patient Educ Couns, 2017,100(8):1482-1489. DOI URL
[11]	Benderly M, Chetrit A, Murad H, et al. Cardiovascular health among two ethnic groups living in the same region:a population-based study[J]. Int J Cardiol, 2017,228:23-30. DOI URL
[12]	Degrie L, Gastmans C, Mahieu L, et al. How do ethnic minority patients experience the intercultural care encounter in hospitals? A systematic review of qualitative research[J]. BMC Med Ethics, 2017,18(1):2. DOI URL
[13]	Leininger M. Transcultural nursing research to transform nursing education and practice:40 years[J]. Image J Nurs Sch, 1997,29(4):341-347. DOI URL
[14]	Leininger M. Culture care theory:a major contribution to advance transcultural nursing knowledge and practices[J]. J Transcult Nurs, 2002,13(3):189-192. DOI URL
[15]	金武州. 当代大学生宗教信仰原因分析及启示[J]. 浙江海洋学院学报(人文科学版), 2010,27(1):113-115.
[16]	Mohammad A, Saini B, Chaar BB. Exploring culturally and linguistically diverse consumer needs in relation to medicines use and health information within the pharmacy setting[J]. Res Social Adm Pharm, 2015,11(4):545-559. DOI URL
[17]	刘元敏. 当代宗教信仰人数攀升现象分析[J]. 东方企业文化, 2011(10):225.
[18]	Campinha-Bacote J. A model and instrument for addressing cultural competence in healthcare[J]. J Nurs Educ, 1999,38(5):203-207. DOI URL
[19]	Ulrey KL, Amason P. Intercultural communication between patients and health care providers:an exploration of intercultural communication effectiveness,cultural sensitivity,stress,and anxiety[J]. Heal Commun, 2001,13(4):449-463.
[20]	Burchum JL. Cultural competence:an evolutionary perspective[J]. Nurs Forum, 2002,37(4):5-15.
[21]	Waibel S, Wong ST, Katz A, et al. Lower patient-physician social concordance was associated with less positive patient perceptions of care and lower positive patient affect[J]. CMAJ Open, 2018,6(3):E276-E284. DOI URL