摘要
目的从患者角度探索成年人阻塞性睡眠呼吸暂停低通气综合征患者术后住院期间真实体验,为提高此类患者术后住院期间舒适度和满意度提供方法。方法2018年5月至2021年1月采用质性研究中现象学研究法,设计访谈提纲并深入访谈13名于华中科技大学同济医学院附属协和医院耳鼻咽喉科住院的此类患者,用Colaizzi方法分析资料。结果萃取出3项一级主题及10项二级主题。备受生理不适困扰包括咽部不适、夜间睡眠不足、饮食困难、说话受限;易产生负性情绪包括担心感、无助感、烦躁感及后悔感;渴望得到支持包括渴望应对策略和被理解。结论成年人阻塞性睡眠呼吸暂停低通气综合征患者术后主要因咽部不适产生一系列连锁体验。护士应通过与医生合作、主动询问及与家属合作,减轻患者不适,尤其夜晚不适;从而提高患者术后生命质量,促进护患关系和谐,提高患者满意度。
Objective To explore the experience of the postoperative adult patients with obstructive sleep apnea-hypopnea syndrome from the patients′angle and to provide references for improving the postoperative comfort of the patients.Methods The phenomenology research method was adopted in this study.Thirteen postoperative adult patients with obstructive sleep apnea-hypopnea syndrome from Department of Otolaryngology,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology participated in the in-depth interview with the interview outline.Data were analyzed by using Colaizzi′s phenomenological method.Results Three level-1 themes and ten level-2 themes were extracted.The physical discomfort included throat discomfort,lacking of enough sleep at night,restricted diet,limitation in speaking.The negative emotion included the sense of worry,helplessness,fidget and regret.The wish of support included the wish of coping strategy and being understanded.Conclusions The main uncomfortable experience of the patients is the throat discomfort which has the chain reaction and causes the other discomfort.So the nurses should inquire patients initiatively,cooperate with doctors and patients′family members to relieve patients′discomfort particularly at night,and then the patients′quality of life,nurse-patient relationship and patients′satisfaction may be improved.
作者
官春燕
王淼
阮红霞
邱晶
黄晓莉
吴桂红
Guan Chunyan;Wang Miao;Ruan Hongxia;Qiu Jing;Huang Xiaoli;Wu Guihong(Department of Otolaryngology,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China)
出处
《中国实用护理杂志》
2022年第5期365-371,共7页
Chinese Journal of Practical Nursing
基金
华中科技大学同济医学院附属协和医院"药剂护"课题(2018xhyn020)。
