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Nurses'Experience of Caring for Delirious Patients

譫妄病患之護理經驗

摘要


譫妄為一老年住院病患常見的問題,本研究之目的在瞭解對譫妄病患之護理過程之經驗,以開放性面談方式,共收集四位元曾照顧過譫妄病患的護理人員之護理過程並將所得資料加以分析,結果發現整個護理經驗是—“尋求平衡”的過程,護理人員在平日沈重工作負擔及病患發性譫妄之不確定性二者間,試圖採取最佳措施來平衡此二種壓力,其所採取措施包括依賴家屬或其他病患的協助、確保病患安全、報告醫師處理、及同儕間相互支持。瞭解護理人員的經驗能讓護理管理者在在職教育及人力分配等各方面訂定措施,經由提升護理人員對譫妄之認知、評估、及處理技能,一方面能達到早期偵測譫妄之目的,另一方面能減輕基層護理人員壓力,以提升病患之護理品質。

關鍵字

照護經驗 譫妄 護理

並列摘要


This qualitative research was aimed at under standing nurses'experiences of caring for delrious patients. Four in-depth open-ended interviews were analyzed. A model to present the caring experience was developed from the inter views. The experience of caring for the delirious patient is a process of “striving for balance”. Infor mants reported trying to deal with unan ticipated patient conditions and the unyielding work loads by balancing these two conditions. Some of the actions pursued included: relying on external resources, assur ing safety, reporting, and sup porting each other. Understanding nurses'caring expeience is important for nurse admin is trators in helping the nurse man age delirious patients. Suggestions for future research are also made.

並列關鍵字

caring experience delirious patient nursing

參考文獻


American Psychiatric Association(1994).Diagnostic and Statistical Manual of Mental Disorders: DSM-IV.Washington, D. C.:American Psychiatric Association.
Denzin, N.(1989).The research act: A theoretical introduction to sociological methods.Englewood Cliffs, NJ:Prentice-Hall.
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Dyer, C. B., Ashton, C. M., Teasdale, T. A.(1995).Postoperative delirium: A review of 80 primary data-collection studies.Archives of Internal Medicine.155
Eden, B. M., Foreman, M. D.(1996).Problems associated with under-recognition of delirium in critical care: A case study.Heart & Lung.25(5)

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