肿瘤科护士参与生育力保存服务体验的质性研究  

Experience of oncology nurses participating in fertility preservation service:a qualitative study

作　　者：阚中帆 谷晨晨 严玄月 付雅鑫 阎玲 KAN Zhongfan;GU Chenchen;YAN Xuanyue;FU Yaxin;YAN Ling

机构地区：[1]天津中医药大学研究生院,天津市300000 [2]天津医科大学肿瘤医院护理部

出　　处：《中华护理杂志》2024年第21期2627-2633,共7页Chinese Journal of Nursing

摘　　要：目的了解肿瘤科护士参与生育力保存服务的体验,为其开展针对性的教育培训和管理提供参考。方法采用现象学研究方法,于2023年9月—11月选取天津市某三级甲等肿瘤专科医院的14名肿瘤科护士进行半结构式访谈,运用Colaizzi 7步分析法进行访谈资料的分析和主题的归纳。结果最终归纳提炼出3个主题和10个亚主题:①参与生育力保存服务的驱动力(生育力保存的远期获益、肿瘤患者的个体状况、角色职责的自觉认知、同理心的内在驱动);②专业素养不足使肿瘤科护士备受限制(知识体系尚未构建、思想偏差有待纠正、沟通技能亟需加强);③参与生育力保存服务的现实困境(缺乏针对性的教育培训、缺乏多学科团队的接洽通道、缺乏规范性的制度保障)。结论肿瘤科护士在生育力保存服务中扮演着不可或缺的角色,医院层面需重视肿瘤科护士的作用,开发针对性培训课程提高其相关专业素养,以期促进国内生育力保存服务的实施。Objective To understand the experience of oncology nurses participating in fertility preservation services,and to provide a reference for oncology nurses to formulate targeted training courses and management measure.Methods From September to November 2023,phenomenological research methods were used to select 14 oncology nurses in a tertiary A cancer hospital in Tianjin for semi-structured interviews.Colaizzi 7-step analysis method was used to analyze the interview data and summarize the themes.Results 3 themes and 10 sub-themes were extracted:①The driving forces for participating in fertility preservation services(long-term benefits of fertility preservation,individual conditions of cancer patients,self-conscious cognition of role responsibilities,and internal drivers of empathy);②Oncology nurses are hampered by the lack of professional quality(knowledge system has not been built,ideological deviation needs to be corrected,communication skills need to be strengthened);③The practical difficulties of oncology nurses participating in fertility preservation services(lack of targeted education and training,lack of multidisciplinary team contact channels,and lack of normative institutional guarantee).Conclusion Oncology nurses play an indispensable role in fertility preservation services.Hospitals need to pay attention to the unique role of oncology nurses and develop targeted training courses to improve their professional quality,so as to promote the implementation of fertility preservation services in China.

关 键 词：肿瘤科护士 生育力保存服务 体验 质性研究 护理管理研究 

分 类 号：R473.73[医药卫生—护理学]