老年慢性心力衰竭患者居家期间灵性照护需求及照护体验的研究

Spiritual Care Needs and Home Care Experience of Elderly Patients with Chronic Heart Failure

目的深入探讨在延续护理模式下老年慢性心力衰竭患者居家期间的灵性照护需求及照护体验,为临床护理提供依据。方法应用质性研究中的现象学方法,对12例老年慢性心力衰竭患者进行访谈,运用Colaizzi现象学分析法进行资料分析,并提炼主题。结果灵性照护需求主题:(1)找回选择权力;(2)回归角色统一;(3)提升尊严;(4)重拾生命意义。照护体验主题:(1)渴望开通24h家庭访视和电话访问服务;(2)期待护理协调员的动态支持;(3)向往志愿帮扶活动。结论老年慢性心力衰竭患者居家期间应该满足其灵性照护需求,医护人员应提供24h动态咨询服务,充分发挥护理协调员作用,并激活社会支持系统,共同助力老年慢性心力衰竭患者健康养老,安度晚年。

Objective To explore in depth spiritual care needs and home care experience of elderly patients with chronic heart failure(CHF)in the mode of extended nursing,and to provide evidence for clinical care.Methods The phenomenological methods in qualitative research were used to interview 12 elderly patients with CHF and the Colaizzi phenomenological analysis method was used to analyze the data and extract the theme.Results Four themes of spiritual care needs were extracted including to regain the choice of power;to return to the role of unity;to promote dignity and to regain the meaning of life.Care experience covered the aspescts as follows:eager for 24-hour home visits and telephone access services;dynamic support from care coordinators and yearning for volunteer support activities.Conclusion Spiritual care needs of elderly patients with CHF should be satisfied during their home staying.Full play of the role of nursing coordinator,24-hour dynamic counseling services from medical staff,and social support system will jointly help the elderly with CHF to maintain their health.