计划行为理论视角下腹部手术术后疼痛管理护士行为意向的质性研究  

Qualitative research on behavioral intention of nurses for pain management after abdominal surgery from the perspective of planned behavior theory

作　　者：陈晓萱 尉碧瑶 吴晓楠 夏丽敏[1] Chen Xiaoxuan;Wei Biyao;Wu Xiaonan;Xia Limin(Department of Nursing,the First Affiliated Hospital of Wenzhou Medical University,Wenzhou 325000,China;School of Information and Engineering,the First School of Medicine Wenzhou Medical University,Wenzhou 325000,China)

机构地区：[1]温州医科大学附属第一医院护理部,温州325000 [2]温州医科大学第一临床医学院(信息与工程学院),温州325000

出　　处：《中华现代护理杂志》2024年第18期2397-2402,共6页Chinese Journal of Modern Nursing

基　　金：浙江省大学生科技创新活动计划(新苗人才计划)(2023R413078);2024年温州市科技局项目(2024Y0258)。

摘　　要：目的基于计划行为理论探讨腹部手术术后疼痛管理中护士的行为意向。方法根据计划行为理论框架制定访谈提纲,采用目的抽样法,选取2022年7—11月温州医科大学附属第一医院的11名普通外科护士为访谈对象,进行半结构化访谈,了解其对腹部手术术后疼痛管理的行为意向。采用Colaizzi 7步分析法分析原始资料。2名研究者对访谈资料进行反复对比、核实、分析、归纳,产生不同意见时由小组成员共同讨论决定,最终确定编码及主题。结果基于计划行为理论框架中行为态度、主观规范、知觉行为控制的3个维度,共提炼出3个主题,以及7个亚主题:行为态度(积极态度、消极态度)、压力来源(群体压力、领导压力、患者及家属压力)、主观感知与行为(舒适圈的禁锢、外部资源支持不足)。结论多数护士对腹部手术术后疼痛管理行为持积极态度,术后疼痛管理行为意向受到同事、领导、患方及家属的影响,同时还存在个人能力不足、外部资源支持不到位的阻碍因素。Objective To explore the behavioral intention of nurses for pain management after abdominal surgery based on the planned behavior theory.Methods According to the framework of planned behavior theory,an interview outline was developed.Using the purposive sampling method,a total of 11 General Surgical Department nurses from the First Affiliated Hospital of Wenzhou Medical University from July to November 2022 were selected as the interview subjects for semi-structured interviews to understand their behavioral intentions regarding postoperative pain management in abdominal surgery.Colaizzi 7-step analysis was used to analyze the original data.Two researchers repeatedly compared,verified,analyzed and summarized the interview data.When different opinions were generated,the group members discussed and decided together to ultimately determine the code and theme.Results Based on the three dimensions of behavioral attitude,subjective norms and perceived behavioral control in the theoretical framework of planned behavior,three themes and seven sub-themes were extracted,such as behavioral attitude(positive attitude,negative attitude),pressure sources(group pressure,leadership pressure,patient and family pressure),subjective perception and behavior(imprisonment of comfort zone,insufficient support from external resources).Conclusions Most nurses hold a positive attitude towards pain management behavior after abdominal surgery,and the behavioral intention of postoperative pain management is affected by colleagues,leaders,patients and their families.At the same time,there are also obstacles such as insufficient personal ability and insufficient support from external resources.

关 键 词：疼痛管理 腹部手术 质性研究 计划行为理论 

分 类 号：R473.6[医药卫生—护理学]