Targeted Care in Comatose Patients with Head Injury: A Qualitative Content Analysis

  • سال انتشار: 1403
  • محل انتشار: مجله تحقیقات کیفی در علوم بهداشتی، دوره: 13، شماره: 1
  • کد COI اختصاصی: JR_JQRI-13-1_005
  • زبان مقاله: انگلیسی
  • تعداد مشاهده: 163
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نویسندگان

Ali Asghar Jesmi

Iranian Research Centre on Healthy Aging, Department of Nursing, Sabzevar University of Medical Sciences, Sabzevar, Iran.

Ali Taj

Non-Communicable Diseases Research Center, Department of Medical Emergencies, School of Paramedicine, Sabzevar University of Medical Sciences, Sabzevar, Iran

Fateme Ardane

Iranian Research On Healthy Aging،Sabzevar University of Medial Sciences, Sabzevar, Iran.

چکیده

Background: Brain injury and coma after trauma are major health problems all over the world as the hemodynamic indicators of patients fluctuate and their clinical conditions deteriorate. Consequently, the demand for professional care will increase. Accordingly, this study aimed to explain the experiences of people caring for comatose patients with head injury.Methods: The present study was conducted using a conventional qualitative content analysis approach. The participants were selected through purposive sampling and the sampling process continued until data saturation. A total of ۱۷ nurses and ۳ head nurses working in the intensive care units (ICUs) of Sabzevar University of Medical Sciences in ۲۰۲۲ participated in the study.Results: Data analysis led to the identification of three main categories and nine subcategories including clarification of needs (understanding patients’ needs based on symptoms, intensive vision, application of care knowledge), continuous care to facilitate transition (skilled and quality care, progress monitoring, continuity in care and teamwork), and empathic support (living in the patient’s world, therapeutic relationship, and conscience-oriented actions. As a result, “targeted care” was detected as the main theme of the study.Conclusion: According to the results of the current study, in order for nurses to perform targeted care to get patients out of critical situations as quickly as possible, first a detailed examination is required to identify the patients’ needs and problems. Then, continuous nursing care with comprehensive support should be provided to the patients. The results of this study can instill motivation in care and improve its quality, ultimately leading to patient-centered nursing and treatment.

کلیدواژه ها

Care, head injury, Coma, Brain trauma, content analysis

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