护理学报 ›› 2023, Vol. 30 ›› Issue (2): 44-47.doi: 10.16460/j.issn1008-9969.2023.02.044
鞠洪杰a, 刘卫b, 王杰c, 尹安春d
摘要: 目的 了解国内外住院患者尊严影响因素的研究进展,为有效识别尊严受损的高危住院患者、预防其尊严受损并制定干预措施提供参考依据。方法 回顾国内外相关研究,对住院患者尊严水平概况进行简介,并从疾病相关因素、社会因素、个体维护因素3个方面归纳住院患者尊严的影响因素。结果 综述发现,病种、住院次数、病程、疾病分期、治疗方案、角色功能、隐私、社会支持、照顾者态度、感受负担、医疗资源、谦逊、责任感、同理心、平等、沟通、尊重、足够的信息、倾听和陪伴是尊严的影响因素。结论 住院患者尊严受损问题可以从评估、筛查、反馈等方面进行研究,通过有效识别高危住院患者,减少危险因素,增加住院患者尊严的个体维护因素,针对尊严受损的患者,及时采取个体化的干预措施,从而有效预防住院患者尊严受损。
中图分类号:
[1] Eduardo PDP,Quagliato LA,Nardi AE.Improving the percep-tion of respect for and the dignity of inpatients: a systematic review[J].BMJ Open,2022,12(5):e059129.DOI:10.1136/Bmjopen-2021-059129. [2] Stievano A,Tschudin V.The ICN code of ethics for nurses: a time for revision[J].Int Nurs Rev,2019, 66(2):154-156.DOI:10.1111/inr.12525. [3] Salehi K, Shirani F, Atashi V, et al.The relationship of respecting inherent dignity with anxiety,depression,stress and quality of life in patients with heart failure[J]. 2020,21(8):e96624.DOI:10.5812/semj.96624. [4] Huang Y, Zhou Y, Wong TKS,et al.Inpatient dignity scale: mandarin translation and psychometric characteristics evaluation[J].Nurs Open, 2022,9(1):500-512.DOI:10.1002/nop2.1088. [5] Asmaningrum N,Kurniawati D,Tsai YF.Threats to patient dignity in clinical care settings: a qualitative comparison of Indonesian nurses and patients[J]. J Clin Nurs,2020,29(5/6):899-908.DOI:10.1111/jocn.15144. [6] Torabizadeh C, Jafari S, Momennasab M.Patient’s dignity: viewpoints of patients and nurses in hospitals[J]. Hosp Top,2021,99(4):187-197.DOI:10.1080/00185868. [7] 聂婷瑶,罗艳,王冬华.癌症患者尊严影响因素及其干预措施的研究进展[J].护理管理杂志,2019,19(1):43-47. [8] 黄瑶,周英,汪国成.患者尊严的研究现状[J].中华现代护理杂志,2020,26(30):4278-4282. [9] Chochinov HM.Dignity-conserving care-a new model for palliative care: helping the patient feel valued[J]. JAMA,2002,287(17):2253-2260.DOI:10.1001/jama.287.17.2253. [10] 陈雪娟,刘洁,胡芳娟,等.大肠癌患者尊严受损的影响因素及与症状群和生活质量的关系分析[J]. 现代生物医学进展,2021,21(19):3709-3713.DOI:10.13241/j.cnki.pmb.2021.19.022. [11] Wang L, Wei Y,Xue L,et al.Dignity and its influencing factors in patients with cancer in North China:a cross-sectional study[J].Curr Oncol, 2019, 26(2):e188-e193.DOI:10.3747/co.26.4679. [12] Di Lorenzo R,Ferri P,Biffarella C,et al.Psychometric properties of the patient dignity inventory in an acute psychiatric ward: an extension study of the preliminary validation[J].Neuropsychiatr Dis Treat, 2018, 14:903-913.DOI:10.2147/NDT.S153902. [13] Ferri P, Muzzalupo J,Di Lorenzo R.Patients’ perception of dignity in an Italian general hospital: a cross-sectional analysis[J].BMC Health Serv Res,2015,15:41.DOI:10.1186/s12913-015-0704-8. [14] 黄瑶,周英,汪国成,等.住院患者尊严现状及影响因素分析[J].护理学杂志,2021,36(20):93-96. [15] Lindwall L, Lohne V.Human dignity research in clinical practice-a systematic literature review[J].Scand J Caring Sci,2021,35(4):1038-1049.DOI:10.1111/scs.12922. [16] 杨丰华,白献红,卢红梅,等.晚期肝癌患者尊严感调查及影响因素分析[J].护士进修杂志,2019,34(7):660-662.DOI:10.16821/j.cnki.hsjx.2019.07.024. [17] Mergler BD,Goldshore MA,Shea JA,et al.The patient dignity inventory and dignity-related distress among the critically Ill[J].J Pain Symptom Manage,2022,63(3):359-365.DOI:10.1016/j.Jpainsymman.2021.12.001. [18] Fuseini AG, Ley L,Rawson H,et al.A systematic review of Patient-reported dignity and dignified care during acute hospital admission[J]. J Adv Nurs,2022,78(11):3540-3558.DOI:10.1111/jan.15370. [19] Bagheri H, Yaghmaei F,Ashktorab T,et al.Test of a dignity model in patients with heart failure[J].Nurs Ethics,2018,25(4):532-546.DOI:10.1177/0969733016658793. [20] 朱一凡,陈芷谦,郭巧红,等.196例乳腺癌化疗患者尊严现状及影响因素分析[J].护理学报,2020,27(12):33-38.DOI:10.16460/j.issn1008-9969.2020.12.033. [21] 肖红英,杨飞霞,陈绿梅.晚期消化道恶性肿瘤患者尊严现状及影响因素分析[J].中华现代护理杂志, 2018,24(30):3651-3654. [22] 王敏,万永慧,杨冰香,等.癌症晚期患者尊严体验的Meta整合[J].中国护理管理,2022,22(9):1377-1383. [23] 曹艳梅,薛云珍,葛国靖,等.晚期癌症患者尊严现状及影响因素研究[J].护理学报,2017,24(7):30-34.DOI:10.16460/j.issn1008-9969.2017.07.030. [24] Lin YP, Tsai YF, Chen HF.Dignity in care in the hospital setting from patients’ perspectives in Taiwan: a descriptive qualitative study[J].J Clin Nurs,2011,20(5/6):794-801.DOI:10.1111/j.1365-2702.2010.03499.x. [25] Šaňáková Š, áp J.Dignity from the nurses’ and older patients’pe-rspective: a qualitative literature review[J].Nurs Ethics,2019,26(5):1292-1309.DOI:10.1177/0969733017747960. [26] Martin-Ferreres ML, De Juan Pardo MÁ,Bardallo Porras D,et al.An ethnographic study of human dignity in nursing practice[J].Nurs Outlook, 2019, 67(4):393-403. DOI:10.1016/j.outlook.2019.02.010. [27] Philipp R, Mehnert A, Lehmann C,et al.Detrimental social interactions predict loss of dignity among patients with cancer[J].Support Care Cancer, 2016,24(6):2751-2758.DOI:10.1007/s00520-016-3090-9. [28] Tehranineshat B,Rakhshan M,Torabizadeh C,et al.The dignity of burn patients:a qualitative descriptive study of nurses,family caregivers,and patients[J]. BMC Nurs,2021,20(1):205.DOI:10.1186/s12912-021-00725-w. [29] Morgan DD, Marston C, Barnard E,et al.Conserving dignity and facil-itating adaptation to dependency with intimate hygiene for people with advanced disease: a qualitative study[J].Palliat Med,2021,35(7):1366-1377.DOI:10.1177/02692163211017388. [30] 安春实. 膀胱癌病人尊严、自我感受负担及心理韧性相关性研究[D].延吉:延边大学,2017. [31] Missel M, Bergenholtz HM.The understanding of dignity among in-hospital patients living with incurable esophageal cancer[J].Cancer Nurs, 2021, 44(6):E429-E437.DOI:10.1097/NCC.0000000000000859. [32] Bagnasco A, Zanini M,Dasso N,et al.Dignity,privacy,respect and choice-A scoping review of measurement of these concepts within acute healthcare practice[J]. J Clin Nurs,2020,29(11/12):1832-1857.DOI:10.1111/jocn.15245. [33] 梁安东,郑崇皓,卢中秋,等.护士维护患者尊严的实践体验及现实困境的Meta整合[J].中华护理杂志, 2021,56(7):1066-1072. [34] Nyholm L, Koskinen CA.Understanding and safeguarding patient dignity in intensive care[J].Nurs Ethics,2017,24(4):408-418.DOI:10.1177/0969733015605669. [35] Fuseini AG, Rawson H,Ley L,et al.Patient dignity and dignified care:A qualitative description of hospitalised older adults perspectives[J]. J Clin Nurs,2022.DOI:10.1111/jocn.16286. [36] Bagheri H, Yaghmaei F, Ashktorab T,et al.Patient dignity and its related factors in heart failure patients[J].Nurs Ethics,2012,19(3):316-327.DOI10.1177/0969733011425970. [37] Asmaningrum N,Tsai Y F.Patient perspectives of maintaining dignity in Indonesian clinical care settings: a qualitative descriptive study[J]. J Adv Nurs,2018,74(3):591-602.DOI:10.1111/jan.13469. [38] Lin YP, Tsai YF.Maintaining patients’ dignity during clinical care: a qualitative interview study[J].J Adv Nurs,2011,67(2):340-348.DOI:10.1111/j.1365-2648.2010.05498.x. [39] Ortiz Contreras J, Adrián C, Fernández C, et al.Childbirth experiences of immigrant women in chile:trading human rights and autonomy for dignity and good care[J]. Midwifery,2021,101:103047.DOI:10.1016/j.midw.2021.103047. [40] Lin Y P, Tsai Y F.Development and validation of a dignity in care scale for nurses[J]. Nurs Ethics, 2019, 26(7/8):2467-2481.DOI:10.1177/0969733018819120. [41] Asmaningrum N,Tsai YF.Nurse perspectives of maintaining patient dignity in Indonesian clinical care settings: a multicenter qualitative study[J]. J Nurs Scholarsh, 2018,50(5):482-491.DOI:10.1111/jnu.12410. [42] Zhang Z, Min X.The ethical dilemma of truth-telling in healthcare in China[J]. J Bioeth Inq,2020,17(3):337-344.DOI:10.1007/s11673-020-09979-6. [43] 曹艳梅,薛云珍,葛国靖,等.晚期癌症患者尊严现状及影响因素研究[J].护理学报,2017,24(7):30-34.DOI:10.16460/j.issn1008-9969.2017.07.030. |
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