摘要
目的探讨骨科住院患者对以护士为主导院前检查的体验与需求,为优化院前检查程序,改善患者院前检查体验提供参考。方法采用现象学方法,对2018年7月-8月在陆军军医大学第二附属医院骨科就诊且已行院前检查的35例患者进行半结构式深度访谈,采用Colaizzi七步法对资料进行编码、分析、整理、归纳和提炼主题。结果患者对以护士为主导院前检查的体验与需求可分为态度与情绪、个体化预康复需求和院前检查感受三大板块。态度与情绪包括对治疗期望值高、失落感及部分患者表示理解院前检查;个体化预康复需求包括合并心肺疾病的预康复需求、合并睡眠功能障碍的预康复需求、营养调理需求以及保障用药安全需求;患者行院前检查时的感受主要有流程繁杂和工作人员态度需改善。结论院前检查流程中部分环节急需优化。院前检查中,需注重患者期望值管理与预见性沟通,完善多学科合作,制定个性化的预康复计划,优化检查流程,加强人文关怀,改善患者体验。
Objective To explore the experience and needs of orthopedic inpatients for pre-hospital examinations led by nurses,provide a reference for optimizing the pre-hospital examination procedures and improve the pre-hospital examination experience of patient.Methods Using the method of phenomenology,semi-structured indepth interviews were conducted on 35 patients who attended the Department of Orthopedics of the Second Affiliated Hospital of Army Medical University from July to August 2018 and had undergone pre-hospital examinations.Colaizzi’s seven-step method was used to encode,analyze,organize,summarize,and refine topics.Results Patients’experience and needs for pre-hospital examinations led by nurses could be divided into three major sections:attitudes and emotions,individualized pre-rehabilitation needs and pre-hospital examination feelings.Attitudes and emotions included high treatment expectations,feelings of loss,and some patients’understanding of pre-hospital examinations.Individualized pre-rehabilitation needs included pre-rehabilitation needs with cardiopulmonary diseases,prerehabilitation needs with sleep dysfunction,nutritional conditioning needs,and medication safety needs.Patients’feelings during pre-hospital examinations mainly included complicated procedures and staff attitudes that need to be improved.Conclusion Some links in the pre-hospital inspection process urgently need to be optimized.In pre-hospital examinations,it is necessary to focus on patient expectation management and predictive communication,improve multidisciplinary cooperation,formulate personalized pre-rehabilitation plans,optimize examination procedures,strengthen humanistic care,and improve patient experience.
作者
彭涛
何洁
张玉梅
PENG Tao;HE Jie;ZHANG Yumei(Department of Orthopedics,the Second Affiliated Hospital of Army Medical University,Chongqing 400037,P.R.China;Department of Orthopedics,the Second Affiliated Hospital of Chongqing Medical University,Chongqing 400037,P.R.China)
出处
《华西医学》
CAS
2021年第10期1387-1391,共5页
West China Medical Journal
基金
陆军军医大学第二附属医院临床科研项目(2018YLC09)。
关键词
院前检查
预康复
程序优化
质性研究
Pre-hospital examination
Pre-rehabilitation
Program optimization
Qualitative research
