子宫腺肌症患者照护需求的质性研究
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摘要
目的了解子宫腺肌症患者患病过程的体验,探讨其照护需求。方法采用质性研究中现象学研究方法,对子宫腺肌症患者进行半结构式访谈,采用Nvivo10.0质性资料分析统计软件进行资料整理;通过Colaizzi分析法对资料进行分析,提炼主题。结果子宫腺肌症患者的照护需求主要分为3个维度:疾病相关信息需求、个性化护理的需求、情感和社会支持的需求。结论子宫腺肌症患者因特殊患病经历存在多维度照护需求,护理人员应采取个性化、人文的、全面的照护措施,提高患者的照护体验及生存质量。
Objective: To explore the experience of patients with adenomyosis and discuss their care needs. Methods: The Semi-structured interview was conducted with adenomyosis patients by phenomenological research method in the qualitative study, and the data was sorted out by Nvivo 10.0 qualitative data analysis and statistical software, and the data was analyzed by Colaizzi analysis to extract the theme. Results: The nursing needs of adenomyosis patients were mainly divided into three dimensions: disease-related information needs, personalized nursing needs, emotional and social support needs. Conclusions: Because of the special experience of adenomyosis patients with multidimensional care needs, nurses should take personalized, humanistic, comprehensive care measures, improve patient's care experience and quality of life.
Objective: To explore the experience of patients with adenomyosis and discuss their care needs. Methods: The Semi-structured interview was conducted with adenomyosis patients by phenomenological research method in the qualitative study, and the data was sorted out by Nvivo 10.0 qualitative data analysis and statistical software, and the data was analyzed by Colaizzi analysis to extract the theme. Results: The nursing needs of adenomyosis patients were mainly divided into three dimensions: disease-related information needs, personalized nursing needs, emotional and social support needs. Conclusions: Because of the special experience of adenomyosis patients with multidimensional care needs, nurses should take personalized, humanistic, comprehensive care measures, improve patient's care experience and quality of life.
引文
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[15] 李蓉,杜铠邺,孙玉巧,等.康复志愿者参与的小组健康教育形式对乳腺癌病人的影响[J].护理研究,2016,30(15):1820-1822.
[16] 杨舫,时丽媛,王清.子宫腺肌症痛经患者生存质量及影响因素分析[J].中医杂志,2013,54(22):1929-1932.
[17] 周春琴,王妮,刘育红.肾移植病人社会支持与生活质量的调查研究[J].中国医学伦理学,2009,22(1):125-127.
[18] 潘丽师,阙翼,杨柠溪.神经内科医生共情对住院脑卒中患者抑郁情绪的影响[J].中国医学伦理学,2017,30(10):1255-1258.
[19] 马婧.运动医学科住院患者抑郁情绪对细胞免疫的影响及人文护理策略[J].中国医学伦理学,2018,31(2):202-205.
[2] 曹正珺,艾星子·艾里.高强度聚焦超声治疗子宫腺肌症的现状[J].医学综述,2016,22(17):3406-3409.
[3] 许婧钰,董凤齐.临终癌症患者家属对护理服务需求的质性研究[J].中华现代护理杂志,2018,24(2):152-155.
[4] 黄蓉,侯燕文,陈燕,等.初产妇对产后第1小时母婴皮肤接触体验的质性研究[J].国际护理学杂志,2016,35(3):371-374,415.
[5] Colaizzi P.Psychological research as the phenomenologist views it.In existential phenomenological alternative for psychology(Valle R and King Meds)[M].New York:Oxford University Press,1978:48-71.
[6] 康莉,郑雪梅.癌症患者家属哀伤体验的质性研究[J].中国医学伦理学,2017,30(10):1251-1254.
[7] 元万芹.子宫腺肌病188例诊断和治疗分析[J].中国妇幼保健,2012,27(12):1793-1795.
[8] Cully L,Law C,Hudson N,et al.A qualitative study of the impact of endometriosis on male partners[J].Hum Reprod,2017,32(8):1667-1673.
[9] 贾启艾.整体护理的人文关怀[J].护理研究,2013,17(9):67.
[10] 黄丽.论个性化护理和整体化护理的关系和融洽[J].亚太传统医药,2011,6(2):135.
[11] 姜虹.创新优质护理温馨提示卡在妇产科健康宣教中的应用[J].中国实用护理杂志,2016,32(S1):54.
[12] 张月.子宫腺肌症全子宫切除术的临床护理方式研究[J].实用中西医结合临床,2017,17(7):152-165.
[13] 仇曦.温馨护理在妇产科优质护理示范病房的应用价值研究[J].饮食保健,2018,5(44):128-129.
[14] 唐茂婷,刘贤亮,朱瑞雪,等.乳腺癌化疗患者的同伴支持需求及影响因素[J].中国老年学杂志,2018,38(16):4055-4058.
[15] 李蓉,杜铠邺,孙玉巧,等.康复志愿者参与的小组健康教育形式对乳腺癌病人的影响[J].护理研究,2016,30(15):1820-1822.
[16] 杨舫,时丽媛,王清.子宫腺肌症痛经患者生存质量及影响因素分析[J].中医杂志,2013,54(22):1929-1932.
[17] 周春琴,王妮,刘育红.肾移植病人社会支持与生活质量的调查研究[J].中国医学伦理学,2009,22(1):125-127.
[18] 潘丽师,阙翼,杨柠溪.神经内科医生共情对住院脑卒中患者抑郁情绪的影响[J].中国医学伦理学,2017,30(10):1255-1258.
[19] 马婧.运动医学科住院患者抑郁情绪对细胞免疫的影响及人文护理策略[J].中国医学伦理学,2018,31(2):202-205.