BACKGROUND:Despite increasing numbers of morbidly obese patients admitted to acute care facilities for surgery or treatment of nonsurgical conditions, there is little evidence of the problems nurses face in providing care to these patients. Anecdotal evidence suggests that the care of these patients is more demanding than the care of nonobese patients. The objective of this study was to describe nurses' perceptions of the challenges that they face when caring for morbidly obese patients. METHODS:Focus groups of nurses from a tertiary care facility were convened. A trained facilitator posed questions to the group concerning various aspects of care for morbidly obese patients. Comments of respondents were categorized using NVIVO software. RESULTS:Nurses reported concerns about the increased staffing needs required for care of these patients and the particular challenges of the physical care. Concerns also included the availability, placement, and use of specialized equipment. Room size and the absence of some equipment were also problematic. Finally, nurses perceived safety issues, both for themselves and their patients. CONCLUSIONS:Morbidly obese patients in the acute care setting require specialized nursing care in terms of techniques, levels of staffing required, and the use of specialized equipment.

译文

背景:尽管进入急性护理机构接受外科手术或非手术条件治疗的病态肥胖患者的人数不断增加,但几乎没有证据表明护士在为这些患者提供护理方面面临的问题。轶事证据表明,与非肥胖患者相比,这些患者的护理要求更高。这项研究的目的是描述护士对照顾病态肥胖患者时面临的挑战的看法。
方法:召集三级护理机构的护士重点小组。一位训练有素的主持人向小组提出了有关病态肥胖患者护理各个方面的问题。使用NVIVO软件对受访者的评论进行了分类。
结果:护士报告担心护理这些患者所需的人员增加以及身体护理的特殊挑战。问题还包括专用设备的可用性,放置和使用。房间的大小和缺少一些设备也是有问题的。最后,护士们意识到了自己和病人的安全问题。
结论:急性护理环境中的病态肥胖患者需要在技术,所需人员配备和使用专用设备方面进行专门护理。

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