女性压力性尿失禁患者术前自我准备度感知的质性研究  

Preoperative self-readiness perception of female patients with stress urinary incontinence:a qualitative research

作　　者：苏明阳[1] 张淑利[1] 陈亚丽[1] 李玲[1] 李佳佳[2] 刘会范[3] Su Mingyang;Zhang Shuli;Chen Yali;Li Ling;Li Jiajia;Liu Huifan(Central Operation Department,Zhengdong New Area,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院郑东新区中心手术部,郑州450000 [2]郑州大学第一附属医院护理部,郑州450052 [3]郑州大学第一附属医院河医院区教育处,郑州450052

出　　处：《中华现代护理杂志》2023年第9期1153-1160,共8页Chinese Journal of Modern Nursing

基　　金：河南省医学教育研究课题(Wjlx2021273)。

摘　　要：目的:了解女性压力性尿失禁患者术前自我准备期间的感受和体验。方法:本研究为质性研究。采用目的抽样法,选取2021年9—12月在郑州大学第一附属医院泌尿外科行择期手术的12例女性压力性尿失禁患者为研究对象,对其进行半结构式访谈。运用Braun的6步主题分析法对访谈资料进行整理和分析。结果:共提炼出手术相关知识缺乏、手术结局期望水平高、手术心理负担重、对外界给予的支持需求高4个主题,其中手术相关知识缺乏包括3个亚主题,分别为手术知情同意理解力不足、被动接受手术知情同意信息、手术信息回忆偏倚;手术结局期望水平高包括3个亚主题,分别为完全治愈漏尿症状、身体活动和社交活动不受限制、摆脱"社交癌"负面情绪困扰;手术心理负担重包括2个亚主题,分别为对手术效果及并发症的担忧、公共卫生事件的紧张;对外界给予的支持需求高包括3个亚主题,分别为与医护人员情感交流的需求、病友经验分享的需求、家属和朋友情感支持的需求。结论:医护人员应注重提高女性压力性尿失禁患者手术相关知识水平,尊重其知情同意自主权,正确引导患者建立手术预期,为其提供多维度的情感支持,从而促进患者术前准备状态的完善。Objective To explore the feelings and experiences of female patients with stress urinary incontinence during preoperative self-readiness.Methods This is a qualitative research.From September to December 2021,a total of 12 female patients with stress urinary incontinence who underwent elective surgery in the Urology Surgery of the First Affiliated Hospital of Zhengzhou University were selected by objective sampling,and semi-structured interviews were conducted.The interview data were sorted and analyzed through Braun's six-step thematic analysis.Results A total of four themes were extracted including lack of surgical knowledge,high expectation of surgical outcome,heavy psychological burden of surgery,and high demand for external support.The lack of surgical knowledge included three sub-themes,namely,the lack of understanding of informed consent of surgery,the passive acceptance of informed consent information of surgery,and the bias of surgical information recall.The high expectation of surgical outcome included three sub-themes,namely,complete cure of urinary leakage,unrestricted physical and social activities,and getting rid of the negative emotion of"social cancer".The heavy psychological burden of surgery included two sub-themes,namely,concerns about the effects and complications of surgery and the tension of public health events.The high demand for external support included three sub-themes,namely,the need for emotional communication with medical and nursing staff,the need for experience sharing with patients,and the need for emotional support from family members and friends.Conclusions Medical and nursing staff should pay attention to improving the surgical knowledge of female patients with stress urinary incontinence,respect their autonomy of informed consent,correctly guide patients to establish surgical expectations,and provide them with multi-dimensional emotional support,so as to promote the improvement of patients'preoperative readiness.

关 键 词：尿失禁 压力性 术前自我准备度 感知 质性研究 

分 类 号：R473.71[医药卫生—护理学]