肿瘤专科护士开展互联网+护理服务实践体验的质性研究  

Practice of experience of"Internet+nursing service"mode carried out by tumor specialist nurses:a qualitative research

作　　者：李娜[1] 周志欢[1] 覃惠英[1] 张学颖 李月[1] 江丽君 Li Na;Zhou Zhihuan;Qin Huiying;Zhang Xueying;Li Yue;Jiang Lijun(Department of Breast Oncology,Sun Yat-Sen University Cancer Center,Guangzhou 510060,China;School of Nursing,Sun Yat-sen University,Guangzhou 510060,China)

机构地区：[1]中山大学肿瘤防治中心乳腺科,广州510060 [2]中山大学护理学院,广州510080

出　　处：《中国实用护理杂志》2021年第14期1095-1101,共7页Chinese Journal of Practical Nursing

基　　金：广东省科技发展专项资金(2016A020215091)。

摘　　要：目的探讨"互联网+护理服务"模式下,肿瘤专科护士护理服务过程中的体验和感受,挖掘肿瘤专科实施"互联网+护理服务"模式当下存在的主要问题,探讨在构建新型医疗健康服务模式背景下,如何扩大肿瘤专科"互联网+护理服务"的广度和深度来提高肿瘤患者的生命质量和护理服务获益。方法通过对文献资料的回顾,确定研究的重点和方向。采用质性研究方法,对12名注册"互联网+护理服务"的肿瘤专科护士进行半结构式访谈。通过Colaizzi 7步法进行资料的编码、分类、提炼主题。结果肿瘤专科护士开展"互联网+护理服务"实践的体验可以归纳为5个主题:意愿更高;认同度更高(自我认同、患者认同、社会支持);多重心理体验(压力体验:专科操作局限与沟通的压力;适应体验:"专科合作双人出诊模式"适应良好);专科服务的时间经济成本更高;服务项目供给和市场需求的匹配度不足。结论为了进一步扩大肿瘤专科的"互联网+护理服务"的深度和广度,让更多肿瘤患者在长期的治疗和康复过程获益,需提高护士专科认同度,从而提高从业意愿;增加护士培训,增强护士的综合应对能力;提高基于肿瘤疾病特点的政策经济支持;完善肿瘤专科"互联网+护理服务"项目。Objective This study was to explore"Internet+nursing service"mode,the tumor specialist nurses nursing service experience and feelings,in the process of mining"Internet+nursing service"model of current existing problems and future development direction,discussed under the background of constructing a new mode of medical and health services,how to expand the tumor specialized subject"Internet+nursing service"the breadth and depth to improve the quality of life of cancer patients and nursing service benefit.Methods Through the review of the literature,the focus and direction of the research were determined.A semi-structured interview was conducted with 12 oncology nurses enrolled in"Internet+nursing service"by qualitative research.Colaizzi seven-step method was used to encode,classify and extract the data.Results The experience of"Internet+nursing service"carried out by oncology nurses can be summarized into the following five themes:Be more willing;professional identity of specialist nurses is higher(self-identity,patient identity,social identity);Multiple psychological experience(stress experience:the limitation of specialized operation and the pressure of communication;Adaptive experience:"Specialist cooperation and two-person home visit mode"is well adapted).The time and economic cost of specialist services are higher.The matching degree of service item supply and market demand is insufficient.Conclusions In order to further expand the depth and breadth of"Internet+nursing service"in oncology,and to benefit more cancer patients in the long-term treatment and rehabilitation process,it is necessary to improve the recognition degree of nurse specialty,so as to improve the willingness to work;increase nurse training to enhance nurses'comprehensive coping ability;improving policy and economic support based on the characteristics of tumor diseases;improve the oncology"Internet+nursing services"project.

关 键 词：互联网+护理服务 肿瘤专科护士 质性研究 

分 类 号：R473.73[医药卫生—护理学]