基于理论域框架的麻醉复苏期体温管理实施障碍因素分析  

Obstacles to the implementation of body temperature management during anesthesia resuscitation based on the theoretical domain framework:a qualitative study

作　　者：崔苏敏 张伟英[3] 杨芳芳 陈哲颖[2] 顾娟[2] CUI Sumin;ZHANG Weiying;YANG Fangfang;CHEN Zheying;GU Juan(School of Medicine,Tongji University,Shanghai,200092,China)

机构地区：[1]同济大学医学院,上海市200092 [2]上海交通大学医学院附属仁济医院护理部 [3]同济大学附属东方医院护理部

出　　处：《中国护理管理》2024年第7期998-1002,共5页Chinese Nursing Management

基　　金：上海市浦东新区卫生系统重要薄弱学科建设项目资助(PWZbr2022-04);同济大学医学院学科建设三年行动计划重点学科项目(JS2210103);浦东新区卫生系统领先人才培养计划(PWRl 2020-10)。

摘　　要：目的:基于理论域框架探讨麻醉复苏期医护人员体温管理行为的障碍因素,旨在为探索术后体温管理策略提供依据。方法:采用现象学方法,依据理论域框架设计访谈提纲,对13名医护人员进行访谈,采用类属分析法对访谈资料进行整理和分析。结果:影响麻醉复苏期体温管理行为的理论域有知识、社会/职业角色及认同、环境和资源、社会影响、行为规范5项,主要表现为医护人员对体温管理了解不全面、体温管理意识薄弱、麻醉复苏室人力及设备紧缺、组织氛围不良导向、流程及具体措施不具象。结论:影响麻醉复苏期体温管理实施的障碍因素多样,本研究归纳的5项内容可作为改进目标,管理者应探索术后体温管理策略和实施方案以促进体温管理质量改进。Objective:To explore the obstacle factors of temperature management behavior of medical staff during the anesthesia recovery period based on the theoretical domain framework,to provide a basis for exploring postoperative temperature management strategies.Methods:This study used the phenomenological method in qualitative research.An interview outline was designed based on the theoretical domain framework,13 medical staff were interviewed.The interview data were collated and analyzed using category analysis.Results:Five theoretical domains affected the temperature management behavior during anesthesia resuscitation,which were incomplete understanding of temperature management by medical staff,weak awareness of temperature management,shortage of manpower and equipment in anesthesia resuscitation room,poor orientation organizational atmosphere,and lack of concrete process and specific measures.Conclusion:There are various obstacles affecting the implementation of body temperature management during anesthesia recovery.The five theoretical domains summarized in this study can be used as improvement goals.Managers should explore postoperative temperature management strategies and implement programs to promote quality improvement in body temperature management.

关 键 词：术后低体温 麻醉复苏期 体温管理 理论域框架 障碍因素 质性研究 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]