突发公共卫生事件救治中军队护士死亡焦虑应对的质性研究  

Qualitative study on military nurses'coping with death anxiety during emergency public health incidentresponse

作　　者：崔雅慧 李梦诗 唐鲁 陈亭 周玲君 Cui Yahui;Li Mengshi;Tang Lu;Chen Ting;Zhou Lingjun(Faculty of Nursing,Naval Medical University,Shanghai 200433,China;Clinical Research Center,the First Hospital Affiliated to Naval Medical University,Shanghai 200433,China;Department of Stomatology,PLA 960 Hospital,Jinan 250031,China;Department of General Surgery,Western Theater General Hospital of PLA,Chengdu 610083,China)

机构地区：[1]海军军医大学护理系,上海200433 [2]海军军医大学第一附属医院临床研究中心,上海200433 [3]解放军第960医院口腔科,济南250031 [4]解放军西部战区总医院普外科,成都610083

出　　处：《中华现代护理杂志》2024年第26期3542-3547,共6页Chinese Journal of Modern Nursing

基　　金：国家自然科学基金(72004227)。

摘　　要：目的了解军队护士参加突发公共卫生事件救治期间死亡焦虑的状况与应对措施, 为提高其应对能力提供参考。方法采用目的抽样法和滚雪球抽样法, 选取参加突发公共卫生事件支援的多家军队医院的15名护士为研究对象。进行一对一半结构式访谈, 采用Colaizzi 7步分析法分析访谈资料。结果归纳提炼为4个主题:死亡焦虑的出现分布在不同的时间点;死亡焦虑存在较为明显的爆发点;多因素可帮助军队护士缓解死亡焦虑;军队护士参与救治的内在动力和收获。结论突发公共卫生事件全周期均应关注护士死亡焦虑的发生与变化情况, 管理者应注重价值引导, 挖掘个人积极力量应对死亡焦虑, 同时强化信息支持和社会支持等, 加强传染病防护和死亡教育培训, 帮助减轻军队护士的死亡焦虑水平, 提高其死亡焦虑应对能力。Objective To understand the status and coping strategies of death anxiety among military nurses participating in emergency public health incident response,and to provide references for improving their coping abilities.Methods A purposive sampling and snowball sampling method were used to select 15 nurses from multiple military hospitals who supported the emergency public health incident.One-on-one semi-structured interviews were conducted,and the Colaizzi's seven-step analysis method was used to analyze the interview data.Results Four themes were identified:the occurrence of death anxiety at different time points;the presence of significant outbreaks of death anxiety;multiple factors that help military nurses alleviate death anxiety;and the intrinsic motivation and gains of military nurses participating in the response.Conclusions It is crucial to monitor the occurrence and changes in death anxiety among nurses throughout the entire cycle of emergency public health incidents.Managers should focus on value guidance,leverage individual positive strengths to cope with death anxiety,enhance information and social support,reinforce training on infectious disease prevention and death education,and reduce the level of death anxiety among military nurses and improve their coping abilities.

关 键 词：突发公共卫生事件 军队护士 死亡焦虑 质性研究 

分 类 号：R823[医药卫生—临床医学]