急性呼吸窘迫综合征患者清醒俯卧位通气体验的质性研究  

Qualitative study on the experience with prone positioning ventilation in patients with acute respiratory distress syndrome

作　　者：苏汉扬 陈圆 张星 卢敬梅[2] 王卫红[1] Su Hanyang;Chen Yuan;Zhang Xing;Lu Jingmei;Wang Weihong(Nursing Department,School of Medicine,Hunan Normal University,Changsha 410006,China)

机构地区：[1]湖南师范大学医学院护理系,湖南长沙410006 [2]中南大学湘雅医院呼吸与危重症医学科

出　　处：《护理学杂志》2024年第6期50-53,共4页Journal of Nursing Science

摘　　要：目的 深入探索急性呼吸窘迫综合征患者行清醒俯卧位通气治疗的体验。方法 采用描述性质性研究,于2023年4-6月对17例行俯卧位通气的急性呼吸窘迫综合征患者进行半结构化访谈,采用内容分析法分析资料。结果 通过对质性数据的总结和分析,共提炼出4个主题,包括治疗动机和期望、患者体验和感受、俯卧位依从性的促进因素、俯卧位依从性的障碍因素。结论 急性呼吸窘迫综合征患者清醒俯卧位通气的体验受一系列因素的影响。对于需行清醒俯卧位通气的患者,提高患者舒适度、增强患者治疗动机和期望、调动家庭社会支持系统以及支持患者的自我管理努力将有助于提高患者的依从性。Objective To explore in depth the experience of patients with acute respiratory distress syndrome(ARDS)undergoing awake prone position ventilation treatment.Methods A descriptive qualitative research was utilized,and 17 ARDS patients from April to June 2023 were selected to conduct semi-structured interviews.The data were analyzed using content analysis.Results Through the summarization and analysis of qualitative data,four themes were identified,including treatment motivation and expectations,patient experiences and feelings,factors facilitating prone positioning compliance,and barriers to prone positioning compliance.Conclusion The experience of patients undergoing awake prone positioning ventilation is influenced by a series of factors.For patients requiring awake prone positioning ventilation,improving patient comfort,enhancing treatment motivation and expectations,mobilizing family and social support systems,and supporting patient self-management efforts will help improve their compliance.

关 键 词：急性呼吸窘迫综合征 清醒俯卧位通气 促进因素 障碍因素 依从性 质性研究 

分 类 号：R473.5[医药卫生—护理学]