慢性便秘患者菌群移植护理实践现况的田野研究  

Nursing practice for chronic constipation patients with fecal microbiota transplantation:a filed research

作　　者：李燕 周筛兰 杨晓培 王开 费文玲 王芳[1] 田宏亮[2] 朱晓萍[1] Li Yan;Zhou Shailan;Yang Xiaopei;Wang Kai;Fei Wenling;Wang Fang;Tian Hongliang;Zhu Xiaoping(Department of Nursing,Tenth People's Hospital of Tongji University,Shanghai 200072,China;Intestinal Microenvironment Treatment Center,Tenth People's Hospital of Tongji University,Shanghai 200072,China)

机构地区：[1]同济大学附属第十人民医院护理部,上海200072 [2]同济大学附属第十人民医院肠道微生态诊疗中心,上海手200072

出　　处：《中国实用护理杂志》2023年第6期406-411,共6页Chinese Journal of Practical Nursing

基　　金：国家自然科学基金(82100698);上海市申康医院发展中心医企融合创新支撑技能培训专项(SHDC2022CRS001A)。

摘　　要：目的了解慢性便秘患者菌群移植护理实践现况,为构建临床护理方案提供参考依据。方法2021年4—8月,选取同济大学附属第十人民医院肠道微生态诊疗中心作为田野地,通过参与式观察与非正式访谈收集13名护士的资料并采用质性研究中三级编码的方法进行资料分析。结果慢性便秘患者菌群移植护理工作内容包括供体管理、菌液管理、临床护理共3类工作内容主题;护士在入科健康教育、供体随访、移植途径的维护、肠道准备、输注菌液、并发症的观察处理、健康教育及跟踪随访等方面存在提升空间。结论慢性便秘患者菌群移植护理仍存在发展空间,亟需通过组建供体随访团队,对护士开展培训,构建"互联网+"移动医疗平台,提升菌群移植护理质量,从而促进患者康复。Objective To understand the current status of nursing for chronic constipation patients accepted fecal microbiota transplantation and provide reference basis for constructing clinical nursing plan.Methods From April to August 2021,a field research was conducted in the Tenth People′s Hospital of Tongji University.Data was collected by field observation and informal interview for 13 nurses and analyzed by three-level coding method of qualitative research.Results The work content of the observation subjects could be divided into 3 items including entrance health education,donor management,bacterial fluid management and clinical nursing.It still needed being improved in donor management,health education,nursing of naso-jejunal tube,intestinal preparation,infusion of bacterial fluid,observation of complications and follow-up.Conclusions It still needs further development in nursing for chronic constipation with fecal microbiota transplantation.It is urgent to establish donor follow-up team,conduct professional training for nurses,rely on mobile medical platform to improve quality of fecal microbiota transplantation,so as to promote the recovery of patients.

关 键 词：护理 慢性便秘 菌群移植 田野研究 

分 类 号：R473.5[医药卫生—护理学]