早期肺癌预住院患者就医体验的质性研究  

Qualitative study on medical experience of pre-hospitalized patients with early lung cancer

作　　者：高国贞[1] 周末 Gao Guozhen;Zhou Mo(Department of Nursing,the First Hospital Affiliated to Guangzhou Medical University,Guangzhou 510120,China)

机构地区：[1]广州医科大学附属第一医院护理部,广州510120

出　　处：《中国实用护理杂志》2022年第2期121-125,共5页Chinese Journal of Practical Nursing

摘　　要：目的了解早期肺癌预住院患者就医体验, 发现服务过程存在的问题与不足, 为预住院模式下医疗服务质量的提高提供依据。方法采用现象学研究方法, 以目的抽样法选取2020年9-10月广州医科大学附属第一医院收治的21例早期肺癌预住院患者, 进行半结构式访谈, 并运用Colaizzi 7步分析法对研究资料进行分析。结果早期肺癌预住院患者就医体验呈现4个主题:床位周转变快, 住院时间和费用减少;预住院纳入标准缺乏人性化;入院与检查流程待优化;预住院期间医患沟通不足。结论预住院模式的实施可使早期肺癌患者的就医更加便捷高效, 并能降低住院费用, 但早期肺癌预住院患者在预住院期间管理尚存在不足, 应进一步规范预住院流程, 加强预住院患者院外检查等待时期的沟通与管理。Objective To understand the medical experience of patients with early lung cancer in pre-hospitalization,find out the problems and shortcomings in the service process,and provide the basis for improving the quality of medical service under the pre-hospitalization mode.Methods Through phenomenological research method,21 pre-hospitalized patients with early lung cancer from September to October 2020 in the First Hospital Affiliated to Guangzhou Medical University were selected by purpose sampling method for semi-structured interviews,and the research data were analyzed by Colaizzi seven-step method.Results There were four themes in the medical experience of early lung cancer pre-hospitalized patients:the turnover rate of beds was fast,the length of stay and cost of stay were reduced,the inclusion criteria of pre-hospitalization lacked the humanization,admission and examination procedures needed to be optimized and insufficient doctor-patient communication during pre-hospitalization.Conclusions The implementation of pre-hospitalization mode can make patients′medical treatment more convenient and efficient,and reduce hospitalization expenses.However,there are still some shortcomings in the management of pre-hospitalization of early lung cancer patients.The pre-hospitalization process should be further standardized,and the communication and management of pre-hospitalization patients during waiting period for out-of-hospital examination should be strengthened.

关 键 词：定性研究 肺肿瘤 预住院 就医体验 

分 类 号：R473.73[医药卫生—护理学]