医护人员关于体外膜肺氧合患者早期康复运动认知与体验的质性研究  

Qualitative study on healthcare professionals'perceptions and experiences of early rehabilitation exercise in patients undergoing extracorporeal membrane oxygenation

作　　者：张鑫 沈田田 潘向滢[2] 陈臣侃 金佳家 张菊 Zhang Xin;Shen Tiantian;Pan Xiangying;Chen Chenkan;Jin Jiajia;Zhang Ju(School of Nursing,Hangzhou Normal University,Hangzhou 311121,China;Comprehensive Intensive Care Unit,Zhijiang Branch,the First Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou 310000,China)

机构地区：[1]杭州师范大学护理学院,杭州311121 [2]浙江大学医学院附属第一医院之江院区综合监护室,杭州310000

出　　处：《中华现代护理杂志》2025年第10期1266-1270,共5页Chinese Journal of Modern Nursing

基　　金：浙江省医药卫生科技计划(2022-KY1-001-105)。

摘　　要：目的了解医护人员对体外膜肺氧合(ECMO)患者早期康复运动的认知与体验,探讨开展ECMO患者早期康复运动的现存问题,为构建安全有效的ECMO患者早期康复运动方案提供参考。方法本研究为质性研究。采用目的抽样法,于2024年3—5月选取浙江省已开展ECMO患者早期康复运动的3所三级甲等医院的13名ICU医护人员(包括医生、康复治疗师、护士)进行半结构式访谈,采用Colaizzi 7步分析法对访谈资料进行整理分析。结果医护人员对ECMO患者开展早期康复运动的认知与体验可归纳为3个主题及10个亚主题。3个主题分别为医护人员肯定早期康复运动的作用、早期康复运动的实施缺乏统一操作规范、患者与家属参与早期康复运动积极性高。结论医院应定期开展早期康复运动相关培训,提升医护人员的实践能力;同时医护人员应注重发挥患者及其家属在早期康复运动过程中的积极作用,进而提高ECMO患者康复照护质量。Objective To understand healthcare professionals'perceptions and experiences of early rehabilitation exercise for extracorporeal membrane oxygenation(ECMO)patients,explore existing problems in the implementation of early rehabilitation exercise,and provide reference for constructing safe and effective early rehabilitation exercise programs for ECMO patients.Methods This study was a qualitative study.Using purposeful sampling method,13 ICU healthcare professionals(including doctors,rehabilitation therapists,and nurses)from three ClassⅢGrade A hospitals in Zhejiang Province that have implemented early rehabilitation exercise for ECMO patients were selected for semi-structured interviews from March to May 2024,and the interview data were collated and analyzed using the Colaizzi 7-step analysis method.Results The perceptions and experiential perspectives of healthcare professionals on early rehabilitation exercise for ECMO patients can be summarized into three themes and 10 subthemes.The three themes were:healthcare professionals affirm the role of early rehabilitation exercise;lack of unified operational guidelines for early rehabilitation exercise;and patients and their families show high enthusiasm for participating in early rehabilitation exercise.Conclusions Hospitals should regularly conduct related training on early rehabilitation exercise to enhance the practical skills of healthcare professionals.At the same time,healthcare professionals should focus on utilizing the positive role of patients and their families in the process of early rehabilitation exercise to improve the quality of ECMO patient rehabilitation care.

关 键 词：体外膜肺氧合 早期康复运动 医护人员 认知 体验 

分 类 号：R47[医药卫生—护理学]