摘要
目的探讨呼吸科护士对慢性阻塞性肺疾病(COPD)患者管理的职责认识及在疾病管理中存在的困难,为制订呼吸科护士COPD管理培训策略提供参考依据。方法采用现象学研究方法,于2021年5—8月对宁夏医科大学总医院和银川市第一人民医院呼吸与危重症医学科的14名护士进行个人半结构式访谈,根据Colaizzi 7步分析法对资料进行整理分析。结果护士对COPD患者管理的职责认识提炼出5个主题:患者健康的动态监测及管理、患者突发病情变化的护理决策、患者院外随访的实施、促进患者自我管理行为的改善、多学科团队成员间的协作;护士在COPD患者管理职责履行中的困难体验提炼出5个主题:COPD管理专业知识欠缺、临床护理决策权限不足、随访所需人力财力支持短缺、与患者间的沟通技巧不足、院内多学科团队组建不足。结论呼吸科护士对COPD患者管理的职责认识清晰,但同时在职责履行中存在多重困难,应关注对护士COPD管理的职责定位及困难支持,制订针对性的培训策略,促进COPD护理质量的提升。
Objective To explore the responsibilities of respiratory nurses in the management of chronic obstructive pulmonary disease(COPD)patient and the difficulties in disease management,so as to provide reference basis for formulating COPD management training strategies for respiratory nurses.Methods Using phenomenological methodology,14 nurses from the Department of Respiratory and Critical Care Medicine in the General Hospital of Ningxia Medical University and the First People's Hospital of Yinchuan were interviewed in a personal semi-structured way from May to August 2021,and the data were sorted and analyzed according to Colaizzi 7-step analysis method.Results Nurses'understanding of the responsibilities of COPD patient management could be summarized into five themes:dynamic monitoring and management of patients'health,nursing decision-making of sudden changes in patients'condition,implementation of patients'out of hospital follow-up,promotion of improvement of patients'self-management behavior,and cooperation among multidisciplinary team members.The difficult experience of nurses in the management of COPD patients abstracted five themes:lack of professional knowledge of COPD management,lack of clinical nursing decision-making authority,lack of human and financial support for follow-up,lack of communication skills with patients,and lack of multidisciplinary team formation in the hospital.Conclusions Respiratory nurses have a clear understanding of the responsibilities of COPD patient management,but there are multiple difficulties in performing their responsibilities.We should pay attention to the responsibility positioning and difficulty support of nurses′COPD management,and formulate targeted training strategies to promote the improvement of COPD nursing quality.
作者
余芳
芦鸿雁
薛佳丽
蒋希芮
张晓娜
李鑫丹
Yu Fang;Lu Hongyan;Xue Jiali;Jiang Xirui;Zhang Xiaona;Li Xindan(School of Nursing,Ningxia Medical University,Yinchuan 750004,China;Nursing Department,the General Hospital of Ningxia Medical University,Yinchuan 750004,China)
出处
《中国实用护理杂志》
2023年第22期1721-1727,共7页
Chinese Journal of Practical Nursing
基金
宁夏回族自治区重点研发计划项目(2021BEG03116)
关键词
肺疾病
慢性阻塞性
定性研究
护士
职责认识
困难
Pulmonary disease,chronic obstructive
Qualitative research
Nurses
Responsibility understanding
Difficulty
