心脏直视手术患者的生存需求对整体患者教育:一个关键的综合。

IF 1.4 Q2 NURSING
Martha Scheckel, Debra Stieve
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引用次数: 0

摘要

背景:接受心脏直视手术的患者需要以整体为重点的患者教育,以确保他们以一种解决健康各个方面的方式做好准备和康复。然而,对这类患者的患者教育主要以生物心理社会为导向,忽视了存在的需求。目的:对文献进行批判性综合,探讨心脏直视手术患者的存在体验,为全面关注患者教育提供信息。方法:检索相关文献,重点进行定性研究,包括心内直视手术患者的生存体验。使用关键评估技能计划清单对选定的论文进行评估。数据综合使用解释解释学进行,并在主题中表达。结果:对七项合格研究的分析产生了三个主题:(a)处于进退两难的境地:失去自由,依赖医疗保健提供者;(b)与他人联系:减轻存在的不确定性,支持的联系;(c)忠诚:真实地准备和恢复,信任,信仰和祈祷。结论:通过倡导患者的生存需求,医疗保健提供者强调授权,结合心理服务,并解决精神和宗教需求,可以克服只关注生物心理社会导向的患者教育。对以整体为中心的患者教育和整体医疗保健研究的影响进行了讨论。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Existential Needs of Open-Heart Surgery Patients for Holistic-Focused Patient Education: A Critical Synthesis.

Background: Patients undergoing open-heart surgery require holistic-focused patient education to ensure they prepare for and recover in a manner that addresses all dimensions of well-being. However, patient education for this population of patients is predominantly biopsychosocially oriented, overlooking existential needs. Objective: To conduct a critical synthesis of the literature, exploring existential experiences of patients undergoing open-heart surgery, to inform holistic-focused patient education. Method: The literature was searched for research articles, with a focus on qualitative studies that included the existential experiences of open-heart surgery patients. Selected papers were appraised using the Critical Appraisal Skills Programme checklist. Data synthesis was conducted using interpretive hermeneutics and expressed in themes. Results: The analysis of seven eligible studies yielded three themes: (a) being between a rock and a hard place: losing freedom, dependence on healthcare providers, (b) being connected with others: alleviating existential uncertainty, the nexus of support, and (c) being faithful: preparing and recovering authentically, trust, belief, and prayer. Conclusion: A focus only on biopsychosocially oriented patient education for open-heart surgery patients can be overcome through advocating for patients' existential needs, whereby healthcare providers emphasize empowerment, incorporate psychological services, and address spiritual and religious needs. Implications for holistic-focused patient education and holistic healthcare research are discussed.

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来源期刊
CiteScore
4.30
自引率
10.00%
发文量
39
期刊介绍: Manuscripts are solicited that deal with the processes of knowledge development and application including research, concept analysis and theory development, practical applications of research and theory, clinical case studies and analysis, practice applications in general, educational approaches and evaluation, and aesthetic expressions of holistic knowledge. While the journal seeks to support work grounded in evidence, the editorial philosophy suggests that there are many diverse sources of “evidence” beyond the realm of what is called “empirical” and that many methods are appropriate for discovering evidence and generating knowledge.
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