过渡期护理的概念分析

摘要：

目的 通过对过渡期护理的发展、概念应用、属性、典型案例、先决条件、结果等进行系统分析,从护理实践的角度厘清过渡期护理的概念内涵。 方法 系统检索中国知网、中国生物医学文献数据库、PubMed、CINAHL、PscyINFO数据库,以Rorgers演化概念分析法为理论框架分析讨论。 结果 过渡期护理强调的是照护模式的改变,归纳其具有5个概念属性：以患者为中心、转移、连续、协调、教育支持;其先决条件包括患者及其家属的因素、医院相关因素、社会因素,结果关注生活质量、自我效能、住院时长等;其测量指标多为患者过渡准备情况、患者知识改善、自我效能以及治疗依从性等。 结论 过渡期护理是一个动态性的概念,随着时代的发展而不断更新、改善,未来需将过渡期护理的内涵进一步扩大并深入剖析,促进过渡期护理的发展。

关键词: 过渡期护理, 概念分析, 综述, 护理研究

Abstract:

Objective To analyze the development of transitional care and its application,attributes cases,antecedents and consequences through literature review,so as to clarify the concept of transitional care in China from the perspective of nursing practice. Methods CNKI,Wanfang,PubMed,CINAHL and PsycINFO databases were searched systematically,and Rorgers evolutionary concept analysis was used as the theoretical framework for analysis and discussion. Results Transitional care had the following 5 attributes,namely patient-centered,transferring,continuity,coordination and educational support. The antecedents of transitional care included factors related to patients and their families,hospital-related factors and social factors. Quality of life,self-efficacy and length of stay in hospital were the consequences observed.The measurement indicators are mostly patients’ transition preparation,patient knowledge improvement,self-efficacy and treatment compliance. Conclusion Transitional care is a dynamic concept. With the development of the times,it is constantly updated and improved. In the future,the connotation of transitional care needs to be further expanded and analyzed in depth,which is conducive to the further development of transitional care.

Key words: Transitional Care, Concept Analysis, Review, Nursing Research

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