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首页> 外文期刊>Journal of nursing and healthcare of chronic illness >District nurse interaction in engaging with end-stage chronic obstructive pulmonary disease patients: a mixed methods study
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District nurse interaction in engaging with end-stage chronic obstructive pulmonary disease patients: a mixed methods study

机译：地区护士与终末期慢性阻塞性肺疾病患者互动的混合方法研究

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District nurse interaction in engaging with end-stage chronic obstructive pulmonary disease patients: a mixed methods study Aims and objectives. To explore the role of district nurses in caring for people with end-stage chronic obstructive pulmonary disease living in metropolitan London. Background. People with chronic obstructive pulmonary disease experience high symptom burden in their final stages of life. While the majority of end-stage chronic obstructive pulmonary disease patients' symptoms are markedly similar to any end-stage chronic illness, these patients have limited access to supportive community services, such as district nursing. District nurses have an established role in end-of-life care in the community, however, this care has mainly focused on patients with terminal malignancy. It is unclear why district nurses' established skills in end-of-life care not are not applied to this high needs patient group.Methods. A mixed-method design incorporating face-to-face interviews and mailed survey was chosen to gain a coherent understanding of the perceptions of district nurses in metropolitan London. Forty-three district nurses participated in this mixed method study in 2008.Conclusions. District nurses were found to lack confidence in their own knowledge about, and in their ability to interact with end-stage chronic obstructive pulmonary disease patients. While district nurses did interact with these patients, this was limited to tasks unrelated to chronic obstructive pulmonary disease. Referrers appeared to misunderstand the district nurse role in end-stage care and therefore its application to the care of end-stage chronic obstructive pulmonary disease patients. Relevance to clinical practice. District nurses need to closely engage with people with end-stage chronic obstructive pulmonary disease. In addition, referrers must alter their discourse to engage these high-risk patients with health services early in their disease trajectory. Infrastructural ...
机译：地区护士与终末期慢性阻塞性肺疾病患者互动的混合研究：目的和目标的混合研究。探索地区护士在照顾伦敦都会区终末期慢性阻塞性肺疾病患者中的作用。背景。患有慢性阻塞性肺疾病的人在生命的最后阶段会承受较高的症状负担。虽然大多数晚期慢性阻塞性肺疾病患者的症状与任何晚期慢性疾病明显相似，但这些患者获得支持性社区服务（如区域护理）的机会有限。地区护士在社区的临终关怀护理中已确立了作用，但是，这种护理主要集中于终末期恶性肿瘤患者。目前尚不清楚为什么地区护士在临终关怀方面建立的技能没有应用到这个高需求患者群体中。选择了一种融合了面对面访谈和邮件调查的混合方法设计，以使人们对伦敦大都会区护士的看法有一个一致的理解。 43名地区护士于2008年参加了这项混合方法研究。结论。发现地区护士对自己的知识以及与终末期慢性阻塞性肺疾病患者互动的能力缺乏信心。虽然地区护士确实与这些患者进行了互动，但仅限于与慢性阻塞性肺疾病无关的任务。推荐人似乎误解了地区护士在末期护理中的作用，因此将其应用于末期慢性阻塞性肺疾病患者的护理。与临床实践有关。地区护士需要与患有终末期慢性阻塞性肺疾病的人密切接触。此外，推荐人必须改变他们的论述，以使这些高风险患者在疾病发展的早期就获得医疗服务。基础设施...

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