PICC带管患者非正常拔管的真实体验的质性研究  

Experiences of patients with abnormal extubation of PICC tubes： A qualitative study

作　　者：张明[1] 王霞[1] 高伟[1] 王超[1] 孙媛媛[2] 李衎[2] 

机构地区：[1]山东大学齐鲁医院,济南250012 [2]山东大学护理学院

出　　处：《中国实用护理杂志》2014年第13期41-44,共4页Chinese Journal of Practical Nursing

摘　　要：目的 探讨PICC带管患者非正常拔管的真实体验.方法 采用现象学研究方法,对15例非正常拔除PICC导管的患者进行半结构式访谈,采用Nancy现象学分析法对资料进行分析.结果 患者在非正常拔管后表现出负性体验和正性体验的互相矛盾的复杂心理.负性体验主要表现为抱怨、无奈、担心、害怕.正性体验主要表现为如释重负和安心.结论 非正常拔管的患者普遍存在负性体验,建议护理人员在拔管前与患者进行详细沟通,减少护患纠纷.同时,总结非正常拔管原因并分析其影响因素,在临床工作中采取有针对性的干预措施,以降低非正常拔管的发生率.Objective To explore the experiences of patients with abnormal extubation of PICC tubes. Methods Fifteen patients with abnormal extubation of PICC tubes participated in the semi-structure interviews. Data were analyzed by Nancy＇s phenomenological procedure. Results The patients experienced complicated mood which combined negative experience and positive experience, with complainant, helpless, worry, fear for negative experience, relieved, secure for positive experience. Conclusions Patients with abnormal extubation possessed negative experience. Suggestions should be given to nursing staff to corn- municate with patients before the extubation in order to reduce the dispute of nurses and patients. At the same time, we should summarize the reasons and analyze the factors about the abnormal extubation, and take the targeted intervention measures in the clinical work to decrease the incidence rate of PICC extubation.

关 键 词：经外周静脉置入中心静脉导管 非正常拔管 体验 质性研究 

分 类 号：R472[医药卫生—护理学]