{"id":8877,"date":"2024-09-23T08:29:21","date_gmt":"2024-09-23T06:29:21","guid":{"rendered":"https:\/\/www.easistent.ro\/?p=8877"},"modified":"2024-10-24T11:28:45","modified_gmt":"2024-10-24T09:28:45","slug":"ingrijirea-centrata-pe-pacient-in-ingrijirile-medicale-oportunitati-de-implementare-in-unitatile-de-ingrijire-acuta-din-romania","status":"publish","type":"post","link":"https:\/\/www.easistent.ro\/?p=8877","title":{"rendered":"\u00cengrijirea centrat\u0103 pe pacient \u00een \u00eengrijirile medicale \u2013 oportunit\u0103\u021bi de implementare \u00een unit\u0103\u021bile de \u00eengrijire acut\u0103 din Rom\u00e2nia"},"content":{"rendered":"\n

Doina Carmen Mazilu1,2<\/sup>, Corina Gagiu1,2,3<\/sup>, Daniela Stan1,2,4<\/sup>, Claudia Elena Dobre1,2<\/sup>, Ana Mare\u02191,5<\/sup>, Viorica Nedelcu1,2<\/sup>, Mariana Zazu1,2<\/sup><\/p>\n\n\n\n

1<\/sup>OAMGMAMR Bucure\u0219ti; Centrul Rom\u00e2n de Cercetare \u00een \u00cengrijiri de S\u0103n\u0103tate: Centru de Excelen\u021b\u0103 JBI; 2<\/sup>UMFCD Carol Davila; 3<\/sup>Spitalul Clinic de Psihiatrie \u201eProf. Dr. Alexandru Obregia\u201d, Bucure\u0219ti; 4<\/sup>Spitalul Clinic de Obstetric\u0103-Ginecologie \u201eProf. Dr. Panait S\u00e2rbu\u201d, Bucure\u0219ti; 5<\/sup>Spitalul de Urgen\u021b\u0103 Bagdasar-Arseni, Bucure\u0219ti, Romania<\/p>\n\n\n\n

Introducere<\/strong><\/h2>\n\n\n\n

\u00cengrijirea centrat\u0103 pe pacient (ICP) este un concept recunoscut la nivel global pentru asigurarea \u00eengrijirilor de calitate \u0219i siguran\u021b\u0103. Asisten\u021bii medicali \u0219i moa\u0219ele, ca membrii ai echipei medicale, au o responsabilitate esen\u021bial\u0103 \u00een furnizarea \u00eengrijirilor cu accent pe valorile \u0219i preferin\u021bele pacientului.<\/p>\n\n\n\n

Scopul principal<\/strong> al acestui studiu a fost de a dezvoltarea unui Cadru adecvat pentru implementarea ICP<\/strong>, \u021bin\u00e2nd cont de experien\u021ba interna\u021bional\u0103 \u00een domeniu (date publicate din cercet\u0103rile interna\u021bionale) \u0219i de cadrul social, politic \u0219i cultural din Rom\u00e2nia.<\/p>\n\n\n\n

Material \u0219i metod\u0103<\/strong><\/h2>\n\n\n\n

A fost realizat\u0103 o revizie rapid\u0103 \u00een urm\u0103toarele cinci baze de date: Medline, CINAHL, SCOPUS, Cochrane Library, JBI. Au fost c\u0103utate articole full-text publicate p\u00e2n\u0103 \u00een prezent (februarie 2024) referitoare la \u00eengrijirea centrat\u0103 pe pacient\/persoan\u0103 \u00een mediul de \u00eengrijire acut\u0103, \u00een contextul \u00eengrijirilor medicale furnizate de asisten\u021bii medicali. Au fost selectate 85 articole relevante, care au fost analizate \u0219i sintetizate pentru a \u00een\u021belege amploarea subiectului.<\/p>\n\n\n\n

Rezultate \u0219i discu\u021bii<\/strong><\/h2>\n\n\n\n

Din studiile analizate au fost selectate urm\u0103toarele componente caracteristice ale conceptului de<\/strong> \u00eengrijire centrat\u0103 pe pacient bazat\u0103 pe dovezi<\/strong><\/em>:<\/p>\n\n\n\n

(1) Implicarea personalului:<\/strong> Furnizarea consecvent\u0103 a \u00eengrijirilor medicale \u00een func\u021bie de nevoile identificate<\/p>\n\n\n\n

(2) Competen\u021b\u0103 \u0219i Leadership:<\/strong><\/p>\n\n\n\n

  • \u00cencrederea pacientului \u00een cuno\u0219tin\u021bele \u0219i aptitudinile asistentului medical<\/li>
  • Sentimentul de siguran\u021b\u0103 al pacientului \u00een timpul \u00eengrijirii furnizate de asistentul medical<\/li>
  • Timpul petrecut de asistentul medical cu pacientul<\/li>
  • Respect din partea asistentului medical pentru preferin\u021bele \u0219i alegerile pacientului<\/li>
  • Sprijinul asistentului medical acordat pacientului pentru a-\u0219i p\u0103stra autonomia (self care)<\/li>
  • \u00cen\u021belegerea \u0219i acceptarea alegerilor pacientului (ceea ce este important pentru pacient)<\/li>
  • Comunicare eficient\u0103<\/li><\/ul>\n\n\n\n

    (3) Implicarea pacientului \u0219i familiei acestuia:<\/strong><\/p>\n\n\n\n

    • Implicarea pacientului \u0219i\/sau familiei \u00een luarea deciziilor cu privire la \u00eengrijirile medicale<\/li>
    • Crearea de oportunit\u0103\u021bi pentru pacient de a manifesta propriile valori \u0219i credin\u021be<\/li>
    • Respectarea intimit\u0103\u021bii \u0219i drepturilor fundamentale ale pacientului; valorizare ca individ, incluziune \u0219i echitate social\u0103.<\/li><\/ul>\n\n\n\n

      Concluzii<\/strong><\/h2>\n\n\n\n

      Pentru a \u00eembun\u0103t\u0103\u021bi rezultatele \u00een materie de s\u0103n\u0103tate \u0219i calitatea \u00eengrijirilor, sistemele de asisten\u021b\u0103 medical\u0103 trebuie s\u0103 dezvolte metode eficiente pentru implementarea \u0219i evaluarea ICP.<\/p>\n\n\n\n

      La nivel global se discut\u0103 despre centrarea \u00eengrijirilor pe pacient, \u00eens\u0103, \u00een realitate este foarte dificil\u0103 \u00eencadrarea \u00een acest tipar de \u00eengrijire, \u00een condi\u021biile \u00een care exist\u0103 o serie \u00eentreaga de bariere \u0219i limit\u0103ri. Identificarea principalelor facilit\u0103\u021bi pentru limitarea acestor bariere poate fi o strategie eficient\u0103 de implementare a \u00eengrijirii centrate pe pacient \u00een Rom\u00e2nia.<\/p>\n\n\n\n

      Cuvinte cheie:<\/strong> \u00eengrijire centrat\u0103 pe pacient, unit\u0103\u021bi de \u00eengrijire acut\u0103, asisten\u021bi medicali<\/p>\n\n\n\n

      Bibliografie selectiv\u0103<\/strong><\/p>\n\n\n\n

      1. Santana MJ, Manalili K, Jolley RJ, Zelinsky S, Quan H, Lu M. How to practice person\u2010centred care: A conceptual framework. Health Expectations. 2018 Apr;21(2):429-40.<\/li>
      2. Grover S, Fitzpatrick A, Azim FT, Ariza-Vega P, Bellwood P, Burns J, Burton E, Fleig L, Clemson L, Hoppmann CA, Madden KM. Defining and implementing patient-centered care: An umbrella review. Patient education and counseling. 2022 Jul 1;105(7):1679-88.<\/li>
      3. Engle RL, Mohr DC, Holmes SK, Seibert MN, Afable M, Leyson J, Meterko M. Evidence-based practice and patient-centered care: doing both well. Health care management review. 2021 Jul 1;46(3):174-84.<\/li>
      4. Phelan A, McCormack B, Dewing J, Brown D, Cardiff S, Cook NF, Dickson CA, Kmetec S, Lorber M, Magowan R, McCance T. Review of developments in person-centred healthcare. 2020.<\/li><\/ol>\n","protected":false},"excerpt":{"rendered":"

        Doina Carmen Mazilu1,2, Corina Gagiu1,2,3, Daniela Stan1,2,4, Claudia Elena Dobre1,2, Ana Mare\u02191,5, Viorica Nedelcu1,2, Mariana Zazu1,2 1OAMGMAMR Bucure\u0219ti; Centrul Rom\u00e2n de Cercetare \u00een \u00cengrijiri de S\u0103n\u0103tate: Centru de Excelen\u021b\u0103 JBI; 2UMFCD Carol Davila; 3Spitalul Clinic de Psihiatrie \u201eProf. Dr. Alexandru Obregia\u201d, Bucure\u0219ti; 4Spitalul Clinic de Obstetric\u0103-Ginecologie \u201eProf. Dr. Panait S\u00e2rbu\u201d, Bucure\u0219ti; 5Spitalul de Urgen\u021b\u0103 Bagdasar-Arseni, […]<\/p>\n","protected":false},"author":3,"featured_media":8902,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[152,155],"tags":[],"_links":{"self":[{"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/posts\/8877"}],"collection":[{"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=8877"}],"version-history":[{"count":3,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/posts\/8877\/revisions"}],"predecessor-version":[{"id":8911,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/posts\/8877\/revisions\/8911"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/media\/8902"}],"wp:attachment":[{"href":"https:\/\/www.easistent.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=8877"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=8877"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=8877"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}