清醒体外膜肺氧合患者辅助治疗体验的质性研究  

The patient’s experience of extracorporeal membrane oxygenation treatment in awake state:a qualitative research

作　　者：夏桦 潘向滢[2] 金佳家 陈臣侃 赵雪红[1] XIA Hua;PAN Xiangying;JIN Jiajia;CHEN Chenkan;ZHAO Xuehong(Department of Nursing,Maternity and Child Health Care Hospital,Sanya,572000,China;不详)

机构地区：[1]浙江大学医学院附属第一医院护理部,杭州市310003 [2]浙江大学医学院附属第一医院重症监护室,杭州市310003

出　　处：《中华急危重症护理杂志》2025年第2期153-157,共5页Chinese Journal of Emergency and Critical Care Nursing

基　　金：浙江省医药卫生科技计划项目(2022KY162)。

摘　　要：目的描述患者在清醒状态下接受体外膜肺氧合治疗的体验,为制订干预方案,提高患者的身心舒适度提供依据。方法采用描述性质性研究方法,采用目的抽样法,于2021年9月—2023年8月选取在浙江省某三级甲等医院接受清醒体外膜肺氧合治疗的13例患者进行半结构式深入访谈,通过内容分析法归纳和提炼主题。结果将在清醒状态下接受体外膜肺氧合治疗患者的体验提炼为3个主题:对清醒体外膜肺氧合辅助治疗持积极认知、治疗带来消极体验、自我正向引导。结论医护人员应关注在清醒状态下接受体外膜肺氧合治疗患者的相关体验,构建以患者为中心的干预方案,帮助患者积极应对相关问题,改善患者的治疗体验,促进患者早日康复。Objective To describe the experience of patients receiving extracorporeal membrane oxygenation(ECMO)in awake state,and provide basis for formulating intervention plan and improving the physical and mental comfort of patients.Methods The descriptive qualitative research method was adopted.By using purposive sampling,13 patients who received ECMO treatment in a tertiary class A hospital in Zhejiang Province from September 2021 to August 2023 were selected for semi-structured in-depth interviews,and the themes were summarized and refined through content analysis.Results The experience of receiving ECMO in the awake state was distilled into three themes:positive cognition of ECMO in the awake state,negative experience of treatment,and positive self-guidance.Conclusion The staff should pay attention to the experience of patients undergoing ECMO in awake state.To construct a patient-centered intervention program to help patients actively respond to related problems,improve the patient’s treatment experience,and promote the early recovery of patients.

关 键 词：体外膜肺氧合 治疗体验 质性研究 内容分析法 重症护理 

分 类 号：R473[医药卫生—护理学]