Objective: To analyze the impact of combined Watson care theory intervention on the psychological state and quality of life in patients with terminal lung cancer. Methods: 72 patients with terminal lung cancer admitte...Objective: To analyze the impact of combined Watson care theory intervention on the psychological state and quality of life in patients with terminal lung cancer. Methods: 72 patients with terminal lung cancer admitted from March 2021 to January 2024 were selected, which were divided into research group (life review combined with Watson care theory intervention) and control group (conventional intervention), with 36 cases each. Compare the nursing effect between the two groups. Results: The anxiety self-rating scale (SAS) and depression self-rating scale (SDS) scores were significantly lower than those of the control group, and the quality of life score was significantly higher than that of the control group (P < 0.05). Conclusion: Life review combined with Watson care theory intervention can improve the psychological state and improve the quality of life of patients with terminal lung cancer.展开更多
目的探究Watson关怀理论下激励式护理在呼吸衰竭患者中的护理价值。方法方便选取2020年12月-2022年12月新沂市人民医院收治的102例呼吸衰竭患者作为研究对象,采用随机数表法分为对照组和研究组,各51例。对照组入院后接受常规护理服务,...目的探究Watson关怀理论下激励式护理在呼吸衰竭患者中的护理价值。方法方便选取2020年12月-2022年12月新沂市人民医院收治的102例呼吸衰竭患者作为研究对象,采用随机数表法分为对照组和研究组,各51例。对照组入院后接受常规护理服务,研究组接受结合Watson关怀理论下激励式护理服务。比较两组患者护理干预前及护理干预3个月后的服药依从性量表(Morisky Medication Adherence Scale,Morisky)、生活质量简表(World Health Organization Quality of Life-100,WHOQOL-100)、心理韧性量表(Stress and Coping Questionnaire,SCSQ)及匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index,PSQI)评分。结果护理干预后,研究组Morisky评分、WHOQOL-100评分高于对照组,差异有统计学意义(P均<0.05)。研究组SCSQ得分(67.85±4.17)分高于对照组的(59.28±4.36)分,差异有统计学意义(t=10.144,P<0.05)。研究组PSQI评分低于对照组,差异有统计学意义(P<0.05)。结论对呼吸衰竭患者实施Watson关怀理论下激励式护理,可激发患者主观能动性,有助于提高其依从性,并增强睡眠质量及心理韧性,从而提高生活质量。展开更多
Theory is considered essential for integral assessment, adopting its foundations and concepts is of great utility. The theory provides different templates to help nurses provide care that respects patients and improve...Theory is considered essential for integral assessment, adopting its foundations and concepts is of great utility. The theory provides different templates to help nurses provide care that respects patients and improves outcomes. Through understanding the intersection of nursing, patients, health, and the environment, theories aim to simplify the complicated, ever-evolving relationship that nurses have with their profession. Nursing theory helps distinguish nursing as a separate discipline from medicine and related sciences, and assists nurses in understanding their patients and their needs. The behaviors of healthcare providers affect how patients participate in and experience care situations. In the nursing discipline, the theoretical structures of caring have been established as the core concept of guidance in all nurses’ work. The aim of this paper is to develop a critique of Kristen Swanson’s theory of caring—a theory structured around five caring principles (maintaining belief, knowing, being with, doing for, and enabling) by applying it to nursing practice. When applied to nursing practice, each of these five stages stimulates the caregiver’s attitude, which in turn improves the overall patient’s well-being. Implications to nursing practice are mentioned [1] [2].展开更多
This is an inquiry that seeks to understand the meaning of experiencing a spinal cord injury for hospitalized Brazilian and Portuguese patients. A quailtative study was achieved in two care services to spinal cord inj...This is an inquiry that seeks to understand the meaning of experiencing a spinal cord injury for hospitalized Brazilian and Portuguese patients. A quailtative study was achieved in two care services to spinal cord injury in Fortaleza-Brazil and Lisboa-Portugal. The subjects were 30 patients with complete spinal cord injury. The findings were obtained through a semi-structured interview, which took place at different times and it was used the following guiding question: What does it mean for you to experience a spinal cord injury? The data were organized by Bardin technique and analysis based on the assumptions of the theory of Jean Watson’s care. The speeches of the patients show a diversity of meanings such as: to lose the freedom of going and coming, sexuality and to become dependent on others. It is concluded that this situation of loss overbalances the person’s existence, which is expressed by feelings of sadness, grief, discontent, isolation, anxiety, crying, pain and emotional suffering. These feelings were expressed by the two groups despite being from different cultures. The research enabled the description of multiple dimensions of the meaning of spinal cord injury. It fills the theoretical gap, not yet sufficiently addressed to the practice of caring people with spinal cord injury.展开更多
目的:探究Watson关怀理论应用于肺癌根治术患者术后恢复效果及疾病感知水平及主观幸福感的影响。方法:选取我科2019年2月至2021年2月接收的90例肺癌根治术患者作为研究对象,用抽签法将其分为对照组与观察组,各45例,对照组给予常规术后护...目的:探究Watson关怀理论应用于肺癌根治术患者术后恢复效果及疾病感知水平及主观幸福感的影响。方法:选取我科2019年2月至2021年2月接收的90例肺癌根治术患者作为研究对象,用抽签法将其分为对照组与观察组,各45例,对照组给予常规术后护理,观察组给予基于Watson关怀理论干预模式,一个月后采用幸福度量表(Memorial university of Newfoundland scale of happiness,MUNSH)各维度评分对比两组患者的主观幸福感,采用简易疾病感知问卷(The Brief lIness Perception Questinnaire,BIPQ)评分了解疾病感知水平,采用6 min步行距离(6 minute walk test,6MWT)研究呼吸运动能力,统计其用力肺活量(Forced vital capacity,FVC)和最大呼气第1秒呼出气量容积(Forced expiratory volume in the frst second,FEV1)。结果:干预后观察组MUNSH量表中正性情感、负性情感、正性体验、负性体验和BIPQ量表中后果、持续时间、个人控制、关注、情绪、治疗控制、症状、对疾病的感知各项评分、6MWT、FVC、FEV1水平均高于对照组,有统计学意义(P<0.05)。结论:肺癌根治术患者应用Watson关怀理论相关干预方案的临床效果佳,患者呼吸运动功能、主观幸福感和疾病感知水平均得到了改善。展开更多
Resilience is the psychological capability to recover from difficulties quickly.Healthcare professionals are especially vulnerable to job-related stress and burnout.Unitary Caring Science is the framework for Watson’...Resilience is the psychological capability to recover from difficulties quickly.Healthcare professionals are especially vulnerable to job-related stress and burnout.Unitary Caring Science is the framework for Watson’s Human Caring Theory,providing a philosophy of practice in healthcare.With the high rates of clinician burnout and psychological issues,it will be significant to unify the human caring theory with research-informed psychological and neuroscience evidence to develop clinicians’resilience-building strategies.The purpose of this article is to introduce a Unitary Caring Science Resilience Model and explain the science behind the core strategies based on Unitary Caring Science philosophy and the psychological and neuroscience research.This model includes six strategies:Embracing loving-kindness for self and others;Nurturing interpersonal and intersubjective connections/relations;Deepening a creative use of self and sense of belonging;Balancing self-learning,self-awareness,and an evolved selfconsciousness;Valuing forgiveness and releasing negativity;Inspiring and maintaining faith-hope.The caring-theory guided resilience-building strategies are proven to alleviate the depletion of clinicians’energy and emotions.Healthcare practices are challenging but rewarding.Clinicians can be emotionally,psychologically,and physically exhausted if they always consider themselves‘giving’and‘doing’institutional tasks without a sense of purpose or fulfillment.The practice can be rewarding if it becomes more aligned with clinicians’value to serve humanity.Through the unitary caring science resilience strategies,clinicians can build resilience as an antidote to clinician burnout and depletion.展开更多
Objective: The aim of this study was to apply Swanson’s Middle Range Caring Theory to the follow-up visit with a midwife for Swedish women who have suffered early miscarriage or received care for late missed miscarri...Objective: The aim of this study was to apply Swanson’s Middle Range Caring Theory to the follow-up visit with a midwife for Swedish women who have suffered early miscarriage or received care for late missed miscarriage in preg-nancy week 18-20. Methods: Twenty-five tape recorded interviews with women four weeks after their early miscarriages and thirteen tape recorded semi-structured interviews with midwives and nurses who had the experience of caring for women who have been diagnosed with a missed miscarriage during a routine ultrasound scan. The interviews were transcribed verbatim and interpreted deductively from the text using the theory. Results: Each woman described her personal experience of miscarriage in the relative terms of a human experience. The midwives and nurses described their experiences with women who received care for missed miscarriage. The interviews included information about the treatment provided by the caregivers during the period afterward of the diagnosis. The caregiver attitude was formed from Swanson’s caring categories: “Maintaining belief”, “knowing”, “being with”, “doing for”, “enabling”. Conclusions: Swanson’s Middle Range Caring Theory as applied to the caregiver includes being emotionally present, giving support with respect for the woman’s dignity, being competent, meeting each woman’s own individual needs. Given the proper care after a miscarriage every woman has the power within herself to improve their wellbeing.展开更多
文摘Objective: To analyze the impact of combined Watson care theory intervention on the psychological state and quality of life in patients with terminal lung cancer. Methods: 72 patients with terminal lung cancer admitted from March 2021 to January 2024 were selected, which were divided into research group (life review combined with Watson care theory intervention) and control group (conventional intervention), with 36 cases each. Compare the nursing effect between the two groups. Results: The anxiety self-rating scale (SAS) and depression self-rating scale (SDS) scores were significantly lower than those of the control group, and the quality of life score was significantly higher than that of the control group (P < 0.05). Conclusion: Life review combined with Watson care theory intervention can improve the psychological state and improve the quality of life of patients with terminal lung cancer.
文摘目的探究Watson关怀理论下激励式护理在呼吸衰竭患者中的护理价值。方法方便选取2020年12月-2022年12月新沂市人民医院收治的102例呼吸衰竭患者作为研究对象,采用随机数表法分为对照组和研究组,各51例。对照组入院后接受常规护理服务,研究组接受结合Watson关怀理论下激励式护理服务。比较两组患者护理干预前及护理干预3个月后的服药依从性量表(Morisky Medication Adherence Scale,Morisky)、生活质量简表(World Health Organization Quality of Life-100,WHOQOL-100)、心理韧性量表(Stress and Coping Questionnaire,SCSQ)及匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index,PSQI)评分。结果护理干预后,研究组Morisky评分、WHOQOL-100评分高于对照组,差异有统计学意义(P均<0.05)。研究组SCSQ得分(67.85±4.17)分高于对照组的(59.28±4.36)分,差异有统计学意义(t=10.144,P<0.05)。研究组PSQI评分低于对照组,差异有统计学意义(P<0.05)。结论对呼吸衰竭患者实施Watson关怀理论下激励式护理,可激发患者主观能动性,有助于提高其依从性,并增强睡眠质量及心理韧性,从而提高生活质量。
文摘Theory is considered essential for integral assessment, adopting its foundations and concepts is of great utility. The theory provides different templates to help nurses provide care that respects patients and improves outcomes. Through understanding the intersection of nursing, patients, health, and the environment, theories aim to simplify the complicated, ever-evolving relationship that nurses have with their profession. Nursing theory helps distinguish nursing as a separate discipline from medicine and related sciences, and assists nurses in understanding their patients and their needs. The behaviors of healthcare providers affect how patients participate in and experience care situations. In the nursing discipline, the theoretical structures of caring have been established as the core concept of guidance in all nurses’ work. The aim of this paper is to develop a critique of Kristen Swanson’s theory of caring—a theory structured around five caring principles (maintaining belief, knowing, being with, doing for, and enabling) by applying it to nursing practice. When applied to nursing practice, each of these five stages stimulates the caregiver’s attitude, which in turn improves the overall patient’s well-being. Implications to nursing practice are mentioned [1] [2].
基金part of the research carried out under the Graduate Program in Nursing,Department of Nursing UFC
文摘This is an inquiry that seeks to understand the meaning of experiencing a spinal cord injury for hospitalized Brazilian and Portuguese patients. A quailtative study was achieved in two care services to spinal cord injury in Fortaleza-Brazil and Lisboa-Portugal. The subjects were 30 patients with complete spinal cord injury. The findings were obtained through a semi-structured interview, which took place at different times and it was used the following guiding question: What does it mean for you to experience a spinal cord injury? The data were organized by Bardin technique and analysis based on the assumptions of the theory of Jean Watson’s care. The speeches of the patients show a diversity of meanings such as: to lose the freedom of going and coming, sexuality and to become dependent on others. It is concluded that this situation of loss overbalances the person’s existence, which is expressed by feelings of sadness, grief, discontent, isolation, anxiety, crying, pain and emotional suffering. These feelings were expressed by the two groups despite being from different cultures. The research enabled the description of multiple dimensions of the meaning of spinal cord injury. It fills the theoretical gap, not yet sufficiently addressed to the practice of caring people with spinal cord injury.
文摘目的:探究Watson关怀理论应用于肺癌根治术患者术后恢复效果及疾病感知水平及主观幸福感的影响。方法:选取我科2019年2月至2021年2月接收的90例肺癌根治术患者作为研究对象,用抽签法将其分为对照组与观察组,各45例,对照组给予常规术后护理,观察组给予基于Watson关怀理论干预模式,一个月后采用幸福度量表(Memorial university of Newfoundland scale of happiness,MUNSH)各维度评分对比两组患者的主观幸福感,采用简易疾病感知问卷(The Brief lIness Perception Questinnaire,BIPQ)评分了解疾病感知水平,采用6 min步行距离(6 minute walk test,6MWT)研究呼吸运动能力,统计其用力肺活量(Forced vital capacity,FVC)和最大呼气第1秒呼出气量容积(Forced expiratory volume in the frst second,FEV1)。结果:干预后观察组MUNSH量表中正性情感、负性情感、正性体验、负性体验和BIPQ量表中后果、持续时间、个人控制、关注、情绪、治疗控制、症状、对疾病的感知各项评分、6MWT、FVC、FEV1水平均高于对照组,有统计学意义(P<0.05)。结论:肺癌根治术患者应用Watson关怀理论相关干预方案的临床效果佳,患者呼吸运动功能、主观幸福感和疾病感知水平均得到了改善。
文摘Resilience is the psychological capability to recover from difficulties quickly.Healthcare professionals are especially vulnerable to job-related stress and burnout.Unitary Caring Science is the framework for Watson’s Human Caring Theory,providing a philosophy of practice in healthcare.With the high rates of clinician burnout and psychological issues,it will be significant to unify the human caring theory with research-informed psychological and neuroscience evidence to develop clinicians’resilience-building strategies.The purpose of this article is to introduce a Unitary Caring Science Resilience Model and explain the science behind the core strategies based on Unitary Caring Science philosophy and the psychological and neuroscience research.This model includes six strategies:Embracing loving-kindness for self and others;Nurturing interpersonal and intersubjective connections/relations;Deepening a creative use of self and sense of belonging;Balancing self-learning,self-awareness,and an evolved selfconsciousness;Valuing forgiveness and releasing negativity;Inspiring and maintaining faith-hope.The caring-theory guided resilience-building strategies are proven to alleviate the depletion of clinicians’energy and emotions.Healthcare practices are challenging but rewarding.Clinicians can be emotionally,psychologically,and physically exhausted if they always consider themselves‘giving’and‘doing’institutional tasks without a sense of purpose or fulfillment.The practice can be rewarding if it becomes more aligned with clinicians’value to serve humanity.Through the unitary caring science resilience strategies,clinicians can build resilience as an antidote to clinician burnout and depletion.
文摘Objective: The aim of this study was to apply Swanson’s Middle Range Caring Theory to the follow-up visit with a midwife for Swedish women who have suffered early miscarriage or received care for late missed miscarriage in preg-nancy week 18-20. Methods: Twenty-five tape recorded interviews with women four weeks after their early miscarriages and thirteen tape recorded semi-structured interviews with midwives and nurses who had the experience of caring for women who have been diagnosed with a missed miscarriage during a routine ultrasound scan. The interviews were transcribed verbatim and interpreted deductively from the text using the theory. Results: Each woman described her personal experience of miscarriage in the relative terms of a human experience. The midwives and nurses described their experiences with women who received care for missed miscarriage. The interviews included information about the treatment provided by the caregivers during the period afterward of the diagnosis. The caregiver attitude was formed from Swanson’s caring categories: “Maintaining belief”, “knowing”, “being with”, “doing for”, “enabling”. Conclusions: Swanson’s Middle Range Caring Theory as applied to the caregiver includes being emotionally present, giving support with respect for the woman’s dignity, being competent, meeting each woman’s own individual needs. Given the proper care after a miscarriage every woman has the power within herself to improve their wellbeing.
