精神病院护士在束缚下为厌食症患者进行鼻胃管喂食的经验。

IF 3 1区 哲学 Q1 ETHICS
Berit Støre Brinchmann, Mette Spliid Ludvigsen, Tove Godskesen
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引用次数: 0

摘要

背景:神经性厌食症是一种复杂的精神障碍,会对患者的生理和心理造成严重影响,通常需要住院治疗,在最严重的情况下,患者会接受强制治疗。在与这些患者相关的各种护理任务中,在约束下实施鼻胃管喂食的任务尤为突出。认识并解决护士在护理患有严重厌食症的成人时所面临的独特的实际和伦理挑战至关重要。本研究旨在深入了解注册护士在约束下对住院的重度神经性厌食症患者进行鼻胃管喂食的经验:本研究采用自然主义设计。采用反思性主题分析法对叙述性访谈数据进行分析。研究对象是从挪威一家精神病医院的成人饮食失调症住院病房招募的12名注册护士:结果:形成了三大主题:在强制治疗期间提供良好的护理;当患者的体重指数达到不会立即威胁生命的程度时,对在限制条件下进行鼻胃管喂食存在伦理顾虑;对让其他病房的人员参与限制条件下的鼻胃管喂食程序存在顾虑:护士们认为,在限制条件下进行鼻胃管喂食是严重厌食症患者救生护理的一部分。这引起了伦理方面的关注,尤其是对体重指数已不再危及生命的患者。我们的研究结果表明了护士的脆弱性,以及在束缚状态下进行鼻胃管喂食时的护理困难和伦理困境。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Nurses' experience of nasogastric tube feeding under restraint for Anorexia Nervosa in a psychiatric hospital.

Background: Anorexia nervosa is a complex mental disorder that has severe physical and psychological consequences, often requiring hospitalisation, and in the most severe cases, patients receive coercive treatment. Among the various nursing tasks associated with encountering these patients, the administration of nasogastric tube feeding under restraint stands out. It is crucial to recognise and address the unique practical and ethical challenges nurses face when caring for adults struggling with severe anorexia nervosa. The aim of the study was to gain a deeper understanding of registered nurses' experience of nasogastric tube feeding under restraint in hospitalised patients with severe anorexia nervosa.

Methods: A naturalistic design guided this study. Narrative interview data were analysed using reflexive thematic analysis. The participants were twelve registered nurses recruited from an inpatient ward for adult patients with an eating disorder in a Norwegian psychiatric hospital.

Results: Three main themes were developed: providing good nursing care during coercive treatment; having ethical concerns about nasogastric tube feeding under restraint when the patient reaches a body mass index that is not immediately life-threatening; and having concerns about involving personnel from another ward in the nasogastric tube feeding under restraint procedure.

Conclusions: Nurses find nasogastric tube feeding under restraint to be part of life-saving nursing for patients with severe anorexia nervosa. It raises ethical concerns, especially with patients with a body mass index that is no longer life-threatening. Our results demonstrate the vulnerability of nurses as well as the difficulties and ethical dilemmas of nursing during nasogastric tube feeding under restraint.

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来源期刊
BMC Medical Ethics
BMC Medical Ethics MEDICAL ETHICS-
CiteScore
5.20
自引率
7.40%
发文量
108
审稿时长
>12 weeks
期刊介绍: BMC Medical Ethics is an open access journal publishing original peer-reviewed research articles in relation to the ethical aspects of biomedical research and clinical practice, including professional choices and conduct, medical technologies, healthcare systems and health policies.
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