医护人员辅助乳腺癌患者生育力保护决策的障碍因素和需求分析  

Barrier factors and needs for medical staff assisting breast cancer patients in fertility preservation decision-making:a qualitative study

作　　者：孙梦莹 路潜[2] 张鹏[3] 柯桑桑 刘春蕾[1] SUN Mengying;LU Qian;ZHANG Peng;KE Sangsang;LIU Chunlei(School of Nursing,Hebei University,Baoding,Hebei province,071000,China)

机构地区：[1]河北大学护理学院,河北省保定市071000 [2]北京大学护理学院 [3]河北大学附属医院乳腺外科 [4]莆田市第一医院护理部

出　　处：《中国护理管理》2025年第3期375-380,共6页Chinese Nursing Management

基　　金：河北大学高层次人才科研启动项目(521100221002);河北大学研究生创新能力培养资助项目(HBU2024SS002)。

摘　　要：目的 :挖掘我国医护人员辅助乳腺癌患者进行生育力保护决策的障碍因素和需求,为医疗系统构建针对性的解决方案提供借鉴。方法 :采用描述性质性研究方法,通过目的抽样,于2024年1月—3月选取河北省保定市某三级甲等医院的16名医护人员进行一对一半结构式访谈,根据传统内容分析法对资料进行整理分析。结果 :共提炼出2个主题,9个亚主题。(1)障碍因素:包括医护人员层面的障碍因素(生育力保护的意识不足、生育力保护专业能力缺乏、生育力保护咨询时间受限)和组织政策层面的障碍因素(生育力保护医疗资源的可及性差、缺乏生育力保护学科间协作机制、生育力保护支持政策有待完善)。(2)支持需求:对决策辅助支持工具的需求、培训专业人员的需求、完善决策环境设施的需求。结论 :医护人员在辅助乳腺癌患者进行生育力保护决策过程中面临着一定的障碍因素,应满足医护人员多样化支持需求,以促进医护人员辅助患者进行生育力保护决策。Objective:To explore the barriers and needs of medical staff in assisting breast cancer patients in fertility preservation decision-making,to provide reference for the medical system to construct targeted solutions.Methods:This was a descriptive qualitative study.From January to March 2024,16 medical staff were selected for one-to-one semi-structured interviews using the purposive sampling method in a tertiary grade A hospital in Baoding,Hebei province.Traditional content analysis methods were used to organize and analyze the interview materials.Results:Two themes and nine sub-themes were extracted.Barrier factors:including the barrier factors in medical staff(insufficient awareness of fertility preservation,lack of professional ability of fertility preservation,and limited consultation time of fertility preservation)and the barrier factors in organizational policy(poor accessibility of medical resources for fertility preservation,lack of interdisciplinary collaboration mechanisms for fertility preservation,fertility preservation support policies need to be improved).Support needs:decision-aid support tools,training professional personnel,improving decision-making environment facilities.Conclusion:Medical staff are faced with barrier factors in the process of assisting breast cancer patients in making fertility preservation decision-making.It is necessary to meet the diverse support needs of medical staff to assist patients in making fertility preservation decision-making.

关 键 词：乳腺癌 生育力保护 医护人员 决策 质性研究 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]