冠状动脉搭桥术前合并抑郁患者护理需求的质性研究  

The qualitative research about nursing needs of depression patients before coronary artery bypass surgery

作　　者：李转珍[1] 郑雪洋[2] 陈海燕[2] 孟海英[3] 李黎[4] 张洛灵[3] 

机构地区：[1]河南科技大学临床医学院河南科技大学第一附属医院心内科,洛阳471000 [2]河南科技大学护理学院 [3]河南科技大学临床医学院河南科技大学第一附属医院心外科 [4]河南省洛阳市中心医院护理部

出　　处：《中国实用护理杂志》2017年第12期908-910,共3页Chinese Journal of Practical Nursing

基　　金：河南省科技发展计划（152102310086）

摘　　要：目的 了解冠状动脉搭桥（CABG）术前合并抑郁患者的护理需求,为此类患者进行心理护理提供依据.方法 应用质性研究的现象学研究法,对14名研究对象进行半结构式访谈,运用Colaizzi现象学7步分析法分析、总结访谈资料.结果 CABG术前合并抑郁患者的护理需求归纳为6个主题群：尊重的需求,爱与归属的需求,自我实现的需求,疾病相关信息需求,获得经济支持的需求,心理治疗需求.患者抑郁程度、特征不同,其护理需求侧重点也不同.结论 CABG术前合并抑郁患者群体的护理需求复杂多变,医护人员应转变护理模式,根据其个体需求提供针对性护理干预,以满足患者需要.Objective To investigate the nursing needs of patients with depression before coronary artery bypass surgery（CABG）, so as to provide the basis for such patients for psychological nursing. Methods The phenomenological research methods of qualitative research were used. Fourteen patients were interviewed with semi structural interview. Colaizzi analytical method was used to process and analyze the data. Results The nursing needs of patients with depression before CABG included six themes： the needs of security; the needs of love and belonging; self-realization demand; the needs of disease related information; the needs of economic support ;the needs of psychological treatment. With different levels of depression and different features, patientsnursing needs were different. Conclusions The patients with depression before CABG have complicated requirements, the medical workers should transform nursing mode and give specific guidance in order to meet the needs of the patients.

关 键 词：冠状动脉旁路移植术 非体外循环 抑郁 护理需求 

分 类 号：R473.6[医药卫生—护理学]