کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2606385 1134199 2016 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Patient participation in pulmonary interventions to reduce postoperative pulmonary complications following cardiac surgery
ترجمه فارسی عنوان
مشارکت بیمار در مداخلات ریوی به منظور کاهش عوارض ریوی بعد از عمل پس از جراحی قلب
کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی مراقبت های ویژه و مراقبتهای ویژه پزشکی
چکیده انگلیسی

BackgroundClinical interventions aimed at reducing the incidence of postoperative pulmonary complications necessitate patient engagement and participation in care. Patients’ ability and willingness to participate in care to reduce postoperative complications is unclear. Further, nurses’ facilitation of patient participation in pulmonary interventions has not been explored.ObjectiveTo explore patients’ ability and willingness to participate in pulmonary interventions and nurses’ facilitation of pulmonary interventions.DesignSingle institution, case study design. Multiple methods of data collection were used including preadmission (n = 130) and pre-discharge (n = 98) patient interviews, naturalistic observations (n = 48) and nursing focus group interviews (n = 2).SettingA cardiac surgical ward of a major metropolitan, tertiary referral hospital in Melbourne, Australia.ParticipantsOne hundred and thirty patients admitted for cardiac surgery via the preadmission clinic during a 1-year period and 40 registered nurses who were part of the permanent workforce on the cardiac surgical ward.Outcome measuresPatients’ understanding of their role in pulmonary interventions and patients’ preference for and reported involvement in pulmonary management. Nurses’ facilitation of patients to participate in pulmonary interventions.ResultsPatients displayed a greater understanding of their role in pulmonary interventions after their surgical admission than they did at preadmission. While 55% of patients preferred to make decisions about deep breathing and coughing exercises, three-quarters of patients (75%) reported they made decisions about deep breathing and coughing during their surgical admission. Nurses missed opportunities to engage patients in this aspect of pulmonary management.ConclusionsPatients appear willing to take responsibility for pulmonary management in the postoperative period. Nurses could enhance patient participation in pulmonary interventions by ensuring adequate information and education is provided. Facilitation of patients’ participation in their recovery is a fundamental aspect of care delivery in this context.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Australian Critical Care - Volume 29, Issue 1, February 2016, Pages 35–40
نویسندگان
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