经鼻内镜术后行腰大池置管引流患者心身体验的质性研究  

Qualitative study on psychosomatic experience of patients undergoing lumbar cistern drainage after transnasal endoscopic surgery

作　　者：赵蕊[1] 陆朋玮 田超男 Zhao Rui;Lu Pengwei;Tian Chaonan(Department of Neurosurgery,Beijing Tiantan Hospital Affiliated to Capital Medical University,Beijing 100070,China;Nursing Department,Beijing Tiantan Hospital Affiliated to Capital Medical University,Beijing 100070,China)

机构地区：[1]首都医科大学附属北京天坛医院神经外科,北京100070 [2]首都医科大学附属北京天坛医院护理部,北京100070

出　　处：《中国实用护理杂志》2022年第10期771-775,共5页Chinese Journal of Practical Nursing

摘　　要：目的了解神经外科经鼻内镜手术后腰大池置管引流患者卧床期间的心身体验与需求。方法采用目的抽样法,对2020年7—8月就诊于首都医科大学附属北京天坛医院的12例腰大池置管引流患者进行一对一、面对面半结构式访谈,采用Colaizzi现象学研究法分析访谈资料,并进行归纳和提炼主题。结果腰大池置管引流患者置管期间体验与需求归纳为3个主题:身心不适感明显:疼痛,体位限制的不适,期盼最小化约束方案;知情和认知需求:了解置管的原因、置管时间以及注意事项;亲情和专业照顾需求:渴望获得医务人员专业照顾与更多关注、渴望家人陪伴,达到舒适度更大提升。结论临床护理应以患者心身感受及需求为重要依据,积极探索适合腰大池置管引流患者的个性化干预措施,制订相应的预见性护理内容,以提高患者的依从性、舒适度及满意度。Objective To understand the psychosomatic experience and needs of patients with lumbar cistern drainage after transnasal endoscopic sinus surgery in neurosurgery while lying in bed.Methods Using the purposeful sampling method,one-to-on,face-to-face semi-structured interviews were conducted among 12 patients with lumbar cistern catheter drainage who were treated in Beijing Tiantan Hospital Affiliated to Capital Medical University from July to August 2020.Colaizzi phenomenology study was used to analyze the interview data,and summarized the themes.Results The experience and needs of patients with lumbar cistern catheterization during the catheter placement were summarized into 3 themes.Obvious physical and mental discomfort:pain,discomfort of body position restriction,expectation minimization constraint scheme.Knowledge and cognitive needs:understand the reasons for intubation,intubation time and precautions.Affectionate and professional care needs:eager for professional care and more attention from medical staff,eager to be accompanied by family member to achieve greater improvement of comfort.Conclusions Clinical nursing should be based on the patient′s psychosomatic feelings and needs,actively explore personalized intervention measures suitable for patients with lumbar cistern drainage,and formulate corresponding predictive care content to improve patients′compliance,comfort and satisfaction.

关 键 词：定性研究 腰大池置管引流 卧床体验 访谈 

分 类 号：R473.6[医药卫生—护理学]