轮转护生玻璃体切割术后俯卧位真实体验的质性研究  

Qualitative research on post-vitrectomy prone position experience of rotating nursing students

作　　者：陈茹[1] 吴培瑜[1] 刘茹茹[2] Chen Ru Wu Peiyu Liu Raru(The 5th Ward, the Eye Hospital Affiliated to Wenzhou Medical University, Wenzhou 325030, China （ Chen R, Wu PY Oculopathy Outpatient, the Eye Hospital Affiliated to Wenzhou Medical University, Wenzhou 325000, China （ Liu RR)

机构地区：[1]温州医科大学附属眼视光医院5病区,325000 [2]温州医科大学附属眼视光医院眼病门诊,325000

出　　处：《中华现代护理杂志》2016年第35期5104-5106,共3页Chinese Journal of Modern Nursing

基　　金：温州市科技局课题（Y20140630）

摘　　要：目的了解轮转护生在眼底外科实习期间对患者术后俯卧位姿势的感受和体会，使护生更深刻地体会俯卧位患者的痛楚和难处，进行有效移情，增加护生护理患者的耐心，提高患者舒适度和满意度。方法采用质性研究中诠释现象学研究法，每1名轮转护生在轮转期间进行为时40min的俯卧位姿势体验，研究者与12名护生进行深入访谈，充分了解其真实感受和想法。结果用类属分析法，经过反复地自省、比较、归纳，提炼出4大主题：俯卧位姿势舒适度比想象中更低、现有的俯卧位器材有待改善、护生对俯卧位患者缺乏耐心、护理临床带教方法有待改进。结论通过俯卧位体验式教学，护生充分体会到玻切术后俯卧位的不舒适和仪器设备的不足之处，帮助其在工作中合理地移情，更加耐心地对待患者。Objective To explore rotating nursing students＇ feelings and experience of patients＇ postoperative prone position during their practice in department of ophthalmic surgery, so as to make them more considerate about the patients＇ pain and difficulty out of transference, more patient to the patients, and thus increase patients＇ comfort and satisfaction. Methods Hermeneutic phenomenological method in qualitative research was adopted. Every rotating nursing student, during the rotation, spent 40 min experiencing the prone position, and 12 were interviewed fully by researchers about their actual feelings and thoughts. Results With generic analysis, after repeated introspection, comparison and induction, four major themes were extracted： comfort level of the prone position was lower than expected; existing prone position equipments needed to be improved; nursing students were lack of patience to the prone-position patients; clinical teaching methods of nursing needed to be improved. Conclusions By experiential teaching, nursing students are fully aware of the discomfort of prone position and shortcomings of equipments, which help them to be more empathetic and more patient to the patients.

关 键 词：俯卧位 移情 心理学 轮转护生 玻璃体视网膜疾病 体验式教学 质性研究 

分 类 号：R473.77[医药卫生—护理学]