抢救室封闭管理模式下多发性创伤患者主要照顾者心理感受的质性研究  

Qualitative study on mental feelings of main caregivers of patients with multiple trauma under closedoff management in emergency room

作　　者：管佳慧[1] 胡三莲[1] 陈妮[1] Guan Jiahui;Hu Sanlian;Chen Ni(Department of Nursing,the Sixth People's Hospital Affiliated to Shanghai Jiao Tong University, Shanghai 200335,China)

机构地区：[1]上海交通大学附属第六人民医院护理部,上海200335

出　　处：《中华现代护理杂志》2019年第6期726-729,共4页Chinese Journal of Modern Nursing

基　　金：上海交通大学医学院科技基金项目(Jyh1708).

摘　　要：目的探讨抢救室封闭管理模式下多发性创伤(简称多发伤)患者主要照顾者的心理感受与需求,为制订针对性的干预措施提供依据。方法采用目的抽样法,选取2017 年6—12 月某医院急诊抢救室多发伤患者主要照顾者为研究对象。采用质性研究中的现象学研究方法,对其进行深度的半结构访谈,根据Colaizzi 现象学分析法进行资料整理分析。结果通过分类和提炼,得出4 个主题:承受照顾压力;心理压力过大;接受现实但对未来不确定;支持系统薄弱。结论急诊抢救室封闭管理模式下,护理人员需关注多发伤患者主要照顾者的身心压力,重视其心理需求,及时进行信息沟通,提高他们对护理工作的信任度和满意度。Objective To explore the mental feelings and demands of main caregivers of patients with multiple trauma under closed-off management in emergency room and to provide a reference for targeted interventions. Methods The main caregivers of the patients with multiple trauma in the Emergency Department of a hospital between June and December 2017 were selected by purposive sampling. The patients received profound semi-structural interview based on phenomenological methods in qualitative studies. The data were organized and analyzed according to Colaizzi phenomenological analysis. Results Totally 4 themes were obtained by classification and refining: mental pressure, too much mental pressure, accepting the reality but uncertain about the future, and weak support systems. Conclusion Nursing workers should pay more attention to the physical and psychological pressure of main caregivers of patients with multiple trauma under closed-off management in emergency room as well as their mental demands. Information should be effectively communicated in order to improve the patients' confidence in and satisfaction with nursing work.

关 键 词：急诊室 医院 多处创伤 封闭管理模式 主要照顾者 

分 类 号：R473.6[医药卫生—护理学]