医护人员对核暴露患者院内关键护理技术与流程优化建议的质性研究  

A qualitative study on the suggestion of key nursing techniques and procedure optimization by medical staffs for patients with nuclear exposed in hospital

作　　者：张鹤立 鄢嫣 胡娴静 陈雅玫[3] 王璟 李葆华[4] Zhang Heli;Yan Yan;Hu Xianjing;Chen Yamei;Wang Jing;Li Baohua(Department of Rehabilitation Medicine,Peking University Third Hospital,Beijing 100191,China;School of Nursing,Peking University,Beijing 100191,China;Department of Oncology and Chemotherapy,Peking University Third Hospital,Beijing 100191,China;Nursing Department of Peking University Third Hospital,Beijing 100191,China)

机构地区：[1]北京大学第三医院康复医学科,北京100191 [2]北京大学护理学院,北京100191 [3]北京大学第三医院肿瘤化疗科,北京100191 [4]北京大学第三医院护理部,北京100191

出　　处：《中国实用护理杂志》2023年第6期458-462,共5页Chinese Journal of Practical Nursing

基　　金：国家重点研发计划"科技冬奥"重点专项(2021YFF0307300)。

摘　　要：目的了解医护人员对核暴露患者院内治疗的关键护理技术及流程优化的看法及建议,为后续流程持续优化提供参考。方法采用目的抽样法,2021年9—10月选择国家卫生健康委核事故医学应急中心2个分部的核暴露医学应急救援相关领域医护人员作为研究对象,采用线上与线下相结合的方式对6名医护人员进行半结构访谈,采用描述性质性研究中的内容分析法进行资料分析。结果提炼出4个主题:核事故应急救援专科护理技术及流程规范设立的需求、核事故应急救援护理技术专业化培训的需求、核事故应急救援专科护理队伍建设的需求、多团队合作密切性加强的需求。结论当前核暴露患者的院内护理技术与流程还有待进一步细化和规范化,未来需建立完善的核暴露患者的院内护理技术与流程,并根据相应的技术与流程加强医护人员核事故应急救援专业培训与仿真训练,建立核应急救援专科护理队伍,促进核事故应急救援护理专科发展。Objective To understand the views and suggestions of medical staff on the key nursing techniques and norms of in-hospital treatment of patients with nuclear exposure,so as to provide reference for the continuous optimization of follow-up processes.Methods From September to October 2021,purpose sampling was adopted to select doctors and nurses who engaged in medical emergency rescue of nuclear exposure-related work in two divisions of the Nuclear Accident Medical Emergency Center of the National Health Commission as the research subjects,using a combination of online and offline methods to carry out semi-structured interviews with 6 research subjects,using content analysis methods in descriptive research for data analysis.Results A total of four themes were refined including the need for the establishment of nursing technology and process specification for nuclear accident emergency rescue specialty;the need for specialized training of nursing technology in nuclear accident emergency rescue;the need for the construction of specialized nursing team for nuclear accident emergency rescue;the need to strengthen the closeness of multi-team cooperation.Conclusions The current in-hospital care technology and processes for nuclear exposed patients need to be further refined and standardized,and in the future,we need to establish a perfect in-hospital care technology and processes for nuclear exposed patients,and according to the corresponding technology and processes,strengthen nursing staff professional training and simulation training in nuclear accident emergency rescue,and establish a nuclear emergency rescue professional nursing team to promote the development of nuclear accident emergency rescue nursing specialists.

关 键 词：核暴露 护理 护理流程 定性研究 

分 类 号：R472[医药卫生—护理学]