神经外科护士对颅内肿瘤患者围手术期护理缺失体验的质性研究  

Qualitative study on neurosurgical nurses′experience of lack of perioperative nursing for intracranial tumors patients

作　　者：杨雪瑞 詹昱新 王佩 万雅莉 喻姣花[1] Yang Xuerui;Zhan Yuxin;Wang Pei;Wan Yali;Yu Jiaohua(Department of Nursing,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China;Department of Neurosurgery,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China)

机构地区：[1]华中科技大学同济医学院附属协和医院护理部,武汉430022 [2]华中科技大学同济医学院附属协和医院神经外科,武汉430022

出　　处：《中国实用护理杂志》2025年第4期310-315,共6页Chinese Journal of Practical Nursing

基　　金：华中科技大学同济医学院护理学院自主创新项目(ZZCX2023X003)。

摘　　要：目的深入了解神经外科护士对颅内肿瘤患者围手术期护理缺失的体验,为减少护理缺失提升护理质量以及改善患者就医体验提供参考。方法于2023年12月至2024年2月,采用目的抽样法,以最大差异化选取华中科技大学同济医学院附属协和医院神经外科护士为研究对象,采用现象学研究方法对其进行半结构式访谈,对访谈资料进行转录、编码、类属分析和描述。结果共纳入17名神经外科护士,其中男6名,女11名,年龄24~45(33.29±6.74)岁。分析得出神经外科护士关于颅内肿瘤围手术期护理缺失体验的3个主题,包括护理缺失体验(安全性护理缺失、及时性护理缺失、高效性护理缺失、有效性护理缺失、公平性护理缺失、以患者为中心的缺失),护理缺失对护士身心的影响(护理缺失对护士生理、心理的影响),护理缺失的原因(人员、仪器设备、材料、组织管理、环境)。结论神经外科护士对颅内肿瘤患者围手术期护理存在多种缺失,护理缺失对护士的身心均有一定影响,提示神经外科护士应高度重视颅内肿瘤患者的护理缺失现象,制订科学有效的管理体系。ObjectiveTo deeply understand the experience of neurosurgery nurses on the lack of perioperative nursing for intracranial tumors patients,so as to provide reference for reducing the lack of nursing and improving the quality of nursing and patients′medical experience.MethodsFrom December 2023 to February 2024,the neurosurgical nurses of Union Hospital,Tongji Medical College,Huazhong University of Science and Technology were selected by the purpose sampling method with maximum differentiation.Semi-structured interviews were conducted with phenomenological research methods.The interview data were transcribed,coded,categorized and described.ResultsA total of 17 neurosurgical nurses were enrolled,including 6 males and 11 females,aged 24-45(33.29±6.74)years.Three themes of perioperative nursing lack experience of neurosurgery nurses were obtained,including nursing lack experience(lack of safety nursing,lack of timely nursing,lack of high efficiency nursing,lack of effectiveness nursing,lack of fair nursing,and lack of patient-centered),the physical and mental effects of nursing lack on nurses(impacts of lack of nursing on nurses′physiology and psychology),and reasons for lack of nursing(personnel,equipment,materials,organization management,environment).ConclusionsNeurosurgical nurses lack of perioperative nursing for patients with intracranial tumor,which has a certain impact on the physical and mental health of nurses,suggesting that neurosurgical nurses should attach great importance to the lack of nursing for patients with intracranial tumor and formulate a scientific and effective management system.

关 键 词：围手术期护理 定性研究 神经外科 颅内肿瘤 护理缺失 

分 类 号：R47[医药卫生—护理学]