肠造口患者对“互联网+护理上门服务”真实体验的质性研究  

The real experience of patients with enterostomy receiving Internet Plus home nur-sing service:a qualitative study

作　　者：王冲 石东方 谢恬枫 陈静 郭巧红 张华果 刘俐惠 Wang Chong;Shi Dongfang;Xie Tianfeng;Chen Jing;Guo Qiaohong;Zhang Huaguo;Liu Lihui(Department of Gastrointestinal Oncology Surgery,Beijing Shijitan Hospital,Capital Medical University,Beijing 100038,China)

机构地区：[1]首都医科大学附属北京世纪坛医院胃肠肿瘤外科,北京100038 [2]首都医科大学附属北京世纪坛医院护理部,北京100038 [3]首都医科大学护理学院

出　　处：《护理学杂志》2023年第20期8-11,共4页Journal of Nursing Science

基　　金：首都医科大学教育教学改革研究课题(2022JYY329);首都医科大学附属北京世纪坛医院院内青年基金项目(2021-q33)。

摘　　要：目的 了解肠造口患者接受“互联网+护理上门服务”的真实体验,为进一步完善肠造口护理上门服务体系提供参考。方法 对11例肠造口患者进行半结构式一对一深度访谈,采用Colaizzi 7步法分析资料、提炼主题。结果 提炼出4个主题:患者选择“互联网+护理上门服务”的原因(并发症,高龄,减轻照顾者负担,住院-居家的过渡);“互联网+护理上门服务”对患者的影响(提高造口自我护理能力,帮助患者恢复正常的生活及工作,情绪治疗);“互联网+护理上门服务”与传统的医疗机构就诊的区别(节省时间,享受个体化的服务);建议(完善保险体系,普及和宣传力度有待加强)。结论 肠造口患者对接受“互联网+护理上门服务”具有积极的体验感,该方式的护理服务有利于提高患者自我护理能力、由医院顺利过渡到居家形式。Objective To understand the real experience of patients with enterostomy receiving Internet Plus home nursing service,so as to provide reference for further improvement of home care service system for enterostomy.Methods A semi-structured one-to-one in-depth interview was conducted among 11 patients with enterostomy.Colaizzi 7-step method was used to analyze the data and extract the theme.Results Four themes emerged:the reasons for choosing"Internet Plus home care service"(complications,advanced age,reducing caregiver burden,and the transition from hospital to home);the impact of"Internet Plus home care for ostomy"(improving stoma self-care ability,helping patients return to normal life and work,and emotional therapy);the difference between"Internet Plus home care service for ostomy"and traditional medical attendance(time-saving and enjoying personalized services);and suggestions(improving the insurance system,strengthening popularization and publicity).Conclusion Patients with enterostomy have a positive experience of receiving"Internet Plus home nursing care".This mode of nursing service is conducive to improving patients′self-care ability and achieving smooth transition from hospital to home.

关 键 词：肠造口 互联网+护理 上门服务 居家护理 体验 质性研究 

分 类 号：R473.6[医药卫生—护理学] R473.2[医药卫生—临床医学] TP393[自动化与计算机技术—计算机应用技术]