三级综合医院首批抗击新型冠状病毒肺炎门急诊预检分诊护士应激心理体验的质性研究  

A Qualitative Study on the Stress Psychological Experience of the First Batch of Nurses in the First Batch of Outpatient and Emergency Pre-examination Triages to Fight Against COVID-19

作　　者：董海菲 李桂蓉[1,2] 刘红[1,2] 陈红苓 蒲佳[1,2] DONG Hai-fei;LI Gui-rong;LIU Hong;CHEN Hong-ling;PU Jia(Department of Rheumatology and Immunology,Mianyang Central Hospital,Mianyang 621000,Sichuan,China;Department of Nursing,Mianyang Central Hospital,Mianyang 621000,Sichuan,China)

机构地区：[1]绵阳市中心医院风湿免疫科,四川绵阳621000 [2]绵阳市中心医院护理部,四川绵阳621000

出　　处：《医学信息》2021年第9期182-184,共3页Journal of Medical Information

基　　金：绵阳市科技局关于新型冠状病毒感染肺炎疫情应急科研项目(编号:2020YJKY002);绵阳市中心医院2020年新型冠状病毒肺炎专项科研项目(编号:2020XGZX015)。

摘　　要：目的探讨三级综合医院首批抗击新型冠状病毒肺炎门急诊预检分诊护士应激心理体验,为构建重大传染病事件医院门急诊预检分诊护士管理模式提供参考依据。方法采用现象学研究方法对2020年1月~3月我院10名首批在门急诊预检分诊处工作的护士进行半结构式面对面深度访谈,运用Colaizzi分析法对访谈资料进行汇总、整理、分析、归纳、总结和提炼。结果10名门急诊预检分诊护士应激心理体验主要涉及3个方面:①担负重责的积极心态,包括守卫人民健康的责任感、实现自我价值的满足感、抗击疫情的信心与决心;②不安全感导致的心理压力,如恐慌、焦虑;③渴望社会支持,如就诊患者或家属不理解、家庭支持不足、感激社会支持。结论护理管理者应深入了解疫情期间预检分诊护士的应激心理体验,积极进行心理干预,促进心理健康,以保证工作质量。Objective To explore the stress psychological experience of the first batch of nurses in the first batch of outpatient and emergency pre-examination triages to fight against COVID-19 in tertiary general hospitals.It provides a reference basis for constructing the management model of outpatient and emergency pre-examination and triage nurses in major infectious disease incidents.Methods The phenomenological research method was used to conduct semi-structured face-to-face in-depth interviews with the first batch of 10 nurses working in the pre-examination branch of our hospital from January to March 2020.Using the Colaizzi analysis method to summarize,sort,analyze,summarize,summarize and refine the interview data.Results The stress psychological experience of 10 outpatient and emergency pre-examination and triage nurses mainly involved three aspects:①A positive attitude to shoulder heavy responsibilities,including the sense of responsibility to guard people's health,the satisfaction of realizing self-worth,and the confidence and determination to fight the epidemic;②Psychological pressure caused by insecurity,such as panic and anxiety;③Desire for social support,such as patients or family members who do not understand,insufficient family support,and gratitude for social support.Conclusion Nursing managers should have an in-depth understanding of the stress psychological experience of pre-inspection and triage nurses during the epidemic,and actively carry out psychological interventions to promote mental health to ensure the quality of work.

关 键 词：新型冠状病毒肺炎 应激心理体验 三级综合医院 预检分诊护士 

分 类 号：R473[医药卫生—护理学]