血液净化中心护士对于维持性血液透析患者死亡质量认知与行为的质性研究  

Qualitative study on the cognition and behavior of nurses in blood purification centers regarding the quality of death in maintenance hemodialysis patients

作　　者：夏京华 朱文博 周跃 张硕[2] 秦岩[2] 关玉霞 Xia jinghua;Zhu Wenbo;Zhou Yue;Zhang Shuo;Qin Yan;Guan Yuxia(Blood Purification Center,Department of Nephrology,Peking Union Medical College Hospital,Chinese Academy of Medical Science,Beijing 100730,China;Department of Nephrology,Peking Union Medical College Hospital,Chinese Academy of Medical Science,Beijing 100730,China;First Ward,Department of Nephrology,Peking Union Medical College Hospital,Chinese Academy of Medical Science,Beijing 100730,China)

机构地区：[1]中国医学科学院北京协和医院肾内科血液净化中心,北京100730 [2]中国医学科学院北京协和医院肾内科,北京100730 [3]中国医学科学院北京协和医院肾内科一病房,北京100730

出　　处：《中华现代护理杂志》2024年第20期2766-2770,共5页Chinese Journal of Modern Nursing

基　　金：中央高水平医院临床科研专项(2022-PUMCH-B-020)。

摘　　要：目的:探讨血液净化中心护士对于维持性血液透析患者死亡质量的认知及行为。方法:采用描述性现象学研究方法。采用目的抽样法,于2022年8—10月选取北京协和医院、北京医院、北京朝阳医院3所医院的14名血液净化中心护士作为受访者。采用半结构式深入访谈法收集资料,采用Colaizzi 7步分析法分析资料。结果:血液净化中心护士对于维持性血液透析患者死亡质量的认知与行为共析出4个主题,分别为影响患者死亡质量的因素、护士开展死亡质量提升工作存在便利条件、护士主动实施提升死亡质量相关举措、提升患者死亡质量的过程存在阻碍因素。结论:血液净化中心护士对于维持性血液透析患者死亡的感受具有专科特色,对于患者的死亡质量存在一定的认知与判断。管理者需重视血液净化中心护士的相关需求及建议并提供帮助与指导,以不断提升患者的死亡质量,实现患者优逝目标。ObjectiveTo explore the cognition and behavior of nurses in blood purification centers on the quality of death of patients undergoing maintenance hemodialysis.MethodsThe descriptive phenomenological research method was adopted.From August to October 2022,a total of 14 nurses from blood purification centers in three hospitals,namely Beijing Union Medical College Hospital,Beijing Hospital and Beijing Chaoyang Hospital were selected as interview subjects by the purposive sampling method.Semi-structured in-depth interview method was used to collect data,and Colaizzi 7-step analysis method was used to analyze data.ResultsThe cognition and behavior of nurses in the blood purification center towards the quality of death of maintenance hemodialysis patients were analyzed into four themes,namely factors affecting the quality of death of patients,convenient conditions for nurses to carry out quality of death improvement work,proactive measures taken by nurses to improve the quality of death and obstacles in the process of improving the quality of death of patients.ConclusionsThe nurses in the blood purification centers have special characteristics in their feelings about the death of patients with maintenance hemodialysis,and they have certain cognition and judgment about the quality of death of patients.Managers need to pay attention to the relevant needs and suggestions of the nurses in the blood purification centers and provide help and guidance,so as to continuously improve the quality of patient death and achieve the goal of optimal death of patients.

关 键 词：肾透析 护士 死亡质量 认知 质性研究 

分 类 号：R473.5[医药卫生—护理学]