患者取消日间手术原因及内心体验的质性研究  

Reason and inner experience of the patient's cancellation of day surgery: a qualitative study

作　　者：谢浩芬[1] 蔡泽君 费惠[3] 朱红[3] 陈巧女[2] 汪洁 张献娜 Xie Haofen;Cai Zejun;Fei Hui;Zhu Hong;Chen Qiaonyu;Wang Jie;Zhang Xianna(Nursing Department,Ningbo First Hospital of Zhejiang Province,Ningbo 315010,China;Department of Surgery,Ningbo First Hospital of Zhejiang Province,Ningbo 315010,China;Operating Room,Ningbo First Hospital of Zhejiang Province,Ningbo 315010,China;Department of Surgery,Union Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology,Wuhan 430022,China)

机构地区：[1]浙江省宁波市第一医院护理部,315010 [2]浙江省宁波市第一医院外科,315010 [3]浙江省宁波市第一医院手术室,315010 [4]华中科技大学同济医学院附属协和医院外科,武汉430022

出　　处：《中华现代护理杂志》2021年第13期1706-1710,共5页Chinese Journal of Modern Nursing

基　　金：浙江省科技厅基金(2019KY566);宁波市科技型中小企业技术创新基金(2017T07)。

摘　　要：目的:通过质性研究深度了解日间手术患者取消手术的原因及内心体验,旨在加强日间手术患者的管理。方法:本研究采用现象学研究法。采用目的抽样法,选取2019年6—12月在浙江省宁波市第一医院取消日间手术的12例患者进行半结构式访谈。应用Colaizzi 7步分析法进行资料分析。结果:通过对访谈资料的反复提炼、分析和萃取,最终将日间手术患者取消手术的原因及内心体验概括为5个主题:对日间手术产生恐惧心理;对日间医生不信任;受基础疾病和生理因素影响;对社区医疗缺乏信心;术前准备不充分。结论:日间手术患者取消手术的原因包括对手术产生恐惧心理、对医生不信任、基础疾病和生理因素、对社区医疗缺乏信心、术前准备不充分等。建议日间手术医护人员加强日间病房管理,提升专业水平和与患者沟通的能力,同时推进医院-社区一体化建设以保障患者出院后医疗安全,进一步降低日间手术手术取消率。Objective To deeply understand the reason and inner experience of day surgery patients canceling surgery through qualitative research,so as to strengthen the management of day surgery patients.Methods This research adopted phenomenological research method.From June to December 2019,purpose sampling was used to select 12 patients who had canceled the day surgery at Ningbo First Hospital in Zhejiang Province for a semi-structured interview.The Colaizzi 7-step analysis method was used for data analysis.Results Through repeated refining,analysis and extraction of interview data,the reasons and inner experience of day surgery patients who canceled surgery were finally summarized into 5 themes.Those themes included fear of day surgery,distrust of day doctors,affected by basic diseases and physiological factors,lack of confidence in community medical care,insufficient preparation before surgery.Conclusions The reasons for day surgery patients to cancel surgery include fear of surgery,distrust of doctors,basic diseases and physiological factors,lack of confidence in community medical care,and insufficient preparation before surgery.It is recommended that day surgery medical and nursing staff strengthen day ward management,improve their professional level and ability to communicate with patients,and at the same time promote the construction of hospital-community integration to ensure the medical safety of patients after discharge from the hospital,and further reduce the cancellation rate of day surgery.

关 键 词：外科手术 日间手术 取消原因 现象学研究 

分 类 号：R473.6[医药卫生—护理学]