Comfort needs as perceived by hospitalized elders: an analysis under the light of Kolcaba’s theory

Abstract

Objective: To reveal the Comfort needs as perceived by hospitalized elders, using Kolcaba’s theory. Methods: Descriptive and qualitative study, with 11 elders hospitalized in a university hospital, aiming to identify their needs for Comfort. Results: Discourses were categorized in four thematic units: Physical, Environmental, Sociocultural, and Psychospiritual. In the Physical context, several subcategories were found, namely, Symptom Relief; Daily Life Activities; Hygiene and personal care; Diet; Sleep and rest. In the Environmental context, the Comfort was considered to be superior than in the elders’ home; in the Sociocultural one, family bonds were found to become more distant, triggering feelings of missing one’s family and isolation, in the Psychospiritual context, spirituality and religiosity stood out. Final considerations: The Comfort needs of the hospitalized elders enable one to reflect on nursing care, offering information to improve the quality of assistance and to attend to the real needs of the elderly.

Management of pressure ulcers in palliative care patients: nurses' view

“…Esse cuidado mostra a importância da promoção da dignidade dos pacientes em cuidados paliativos. A realização da higiene corporal constitui importante medida para gerar conforto, contribuindo para uma melhor aparência e bem-estar dos pacientes (17) .…”

Clinical Observation of Comfort Nursing Combined With Continuous Nursing Intervention After Discharge on Improving Pressure Ulcers, Falls, Quality of Life, and Prognosis in Patients With Intracerebral Hemorrhage

“…( 6) Comfortable infusion: Use intravenous indwelling needles for infusion, when infusion, keep warm and use a thermostat to warm to about 35 • C before infusion, appropriate massage during needle insertion to relieve discomfort, during the infusion, observe closely for redness, swelling, and leakage of the infusion limb. (7)Mental comfort: Medical staff should be confident and calm, communicate actively with patients in friendly language, and introduce past successful cases to patients to ease their panic, respect and understand patients, listen patiently to their main complaints, and promptly resolve the psychological problems that cause their unhappiness. ( 8)Social comfort: understand the patient's family members and social relationships, communicate with the patient's family more often, and do a good job of psychological counseling for them.…”

“…Both are 7 items, which used Likert 3-level scoring method; 0-7 points, 8-10 points, 11-21 points represented the three emotional states of no anxiety/depression, borderline anxiety/depression, and obvious anxiety/depression, respectively. (7) The degree of disability of the two groups 6 months after discharge was assessed by the Glasgow Outcome Scale (GOS). A five-level scoring method was adopted for grading.…”

“…Comfort nursing, as an extension of the connotation of holistic nursing, focuses on the harmonization of comfort and satisfaction at the physical, psychological, social, and spiritual levels compared to traditional care and is an effective care model to help patients achieve a relaxed and comfortable state and eliminate pain and fatigue symptoms, etc. ( 7 ). As an out-of-hospital extension of holistic care in the hospital, continuous nursing is a community and family service model that ensures that patients can still enjoy continuous and coordinated rehabilitation care during the recovery period after discharge, and it has the effect of promoting the rehabilitation process and reducing the need for readmission ( 8 ).…”

Adoption and Safety Evaluation of Comfortable Nursing by Mobile Internet of Things in Pediatric Outpatient Sedation

“…Comfortable nursing is a new professional nursing mode in clinic. It was proposed by Kolcaba and has the advantages of high integrity, strong pertinence, and good effect [ 5 , 6 ]. At present, comfortable nursing has been widely used in all aspects of clinical diseases, with increasing the comfort of patients as the main work content.…”