首页|继发性甲状旁腺功能亢进症患者加速康复外科护理服务需求的项目特征与关联性分析

继发性甲状旁腺功能亢进症患者加速康复外科护理服务需求的项目特征与关联性分析

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目的 探讨继发性甲状旁腺功能亢进症(SHPT)患者加速康复外科(FTS)护理服务需求的项目特征与关联性,以期为临床治疗提供参考.方法 将2021年1月-2023年1月于河北医科大学第三医院接受FTS护理服务的100例SHPT患者作为研究对象,收集患者FTS护理服务项 目需求;并以资料饱和为原则对患者进行半结构式访谈,采用Python中Apriori模块分析不同SHPT患者FTS护理服务需求项目的特征及关联性,计算项/项集的支持度、置信度和提升度;使用Colaizzi分析法进行质性研究分析.结果 量性研究显示:FTS护理服务需求总数为52项,包括健康教育、心理护理、饮食护理、康复训练、用药护理、并发症预防护理6类;各项集支持度均>0.02,用药护理和康复训练支持度最高.质性研究结果显示:患者FTS护理服务需求共凝练出4个主题,分别为疾病知识技能需求、用药知识需求、康复护理需求、心理社会支持需求.结论 SHPT患者存在不同的FTS护理服务需求,各项 目间具有促进作用,管理过程中可根据项 目关联特点,设置合理的服务项目,提高FTS护理服务水平.
Characteristics and correlation analysis of the project demands for fast track surgery nursing services in patients with secondary hyperparathyroidism
Objective To explore the characteristics and correlation of project demands for fast track surgery nursing services in patients with secondary hyperparathyroidism(SHPT),in order to provide evidence for clinical treatment.Methods A total of 100 patients with SHPT who received Fast Track Surgery(FTS)nursing services at the Third Hospital of Hebei Medical University from January 2021 to January 2023 were selected as the research participants.The project demands for FTS nursing services were collected.Semi-structured interviews were conducted with the patients based on the data satura-tion principle.The Apriori module in Python was used to analyze the characteristics and correlation of FTS nursing service demands in different SHPT patients and to calculate the support,confidence,and lift of items/itemsets.The Colaizzi analy-sis method was used for qualitative research analysis.Results The quantitative study showed that the total number of FTS nursing service demands was 52,including health education,psychological care,dietary care,rehabilitation training,medi-cation care,and prevention of complications.The support of each itemset was greater than 0.02,with medication care and rehabilitation training having the highest support.The qualitative study results showed that the FTS nursing service de-mands of the patients were condensed into four themes:disease knowledge and skills demands,medication knowledge de-mands,rehabilitation care demands,and psychosocial support demands.Conclusion Patients with SHPT have different de-mands for FTS nursing services,and the various projects have a promoting effect.In the management process,reasonable service projects can be set based on the characteristics of project correlations to improve the level of FTS nursing services.

Secondary hyperparathyroidismFast track surgeryNursing service demands

冯文静、许润涛、房轩、金秋、王丽

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河北医科大学第三医院普外科,石家庄 050000

继发性甲状旁腺功能亢进症 快速康复外科 护理服务需求

河北省医学科学研究项目(2022)

20221171

2024

保健医学研究与实践
西南大学

保健医学研究与实践

CSTPCD
影响因子:0.512
ISSN:1673-873X
年,卷(期):2024.21(2)
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