Barriers in the Assessment of Out-Of-Bed Activities by ICU Nurses in Patients with Invasive Mechanical Ventilation:A Qualitative Study
张婉竹 1余培琳 1余梦婷 1米洁1
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作者信息
1. 重庆医科大学附属第一医院 重症医学科,重庆 400016
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摘要
目的 深入了解重症监护室(intensive care unit,ICU)护士对有创机械通气患者离床活动评估的障碍因素,为保障患者安全、提高离床活动提供参考.方法 2023年5月,采用目的抽样法选取某院ICU护士 11名为研究对象,对其进行半结构式深度访谈,采用Colaizzi的现象学7步分析法分析访谈资料.结果 ICU护士对有创机械通气患者离床活动评估的障碍因素被提炼为3个主题,即:评估面临客观障碍,评估的意识及经验欠缺,离床活动可能引发的不良后果阻碍护士实施评估.结论 建议研发标准化的评估工具、规范评估流程,倡导多学科团队的参与,提高评估的知识技能和重视程度,以保障患者安全、提高有创机械通气患者离床活动开展率.
Abstract
Objective To investigate the barriers of nurses in ICU in evaluating patients with invasive mechanical ventilation,in order to provide reference for ensuring patient safety and improving patients'out-of-bed activities.Methods In May 2023,11 ICU nurses in a hospital were selected as research subjects by the objective sampling method.A semi-structured in-depth interview was conducted on them,and the in-terview data were analyzed by Colaizzi's 7-step phenomenological analysis method.Results The barriers for ICU nurses to evaluate the out-of-bed activity of patients with invasive mechanical ventilation were summarized into three themes:objective obstacles to evaluation,lack of awareness,experience in evalua-tion,and adverse consequences that may be caused by out-of-bed activities.Conclusions It is necessary to develop standardized assessment tools,standardize the assessment process,advocate the participation of multidisciplinary teams,improve the assessment of knowledge,skills and attention,in order to ensure pa-tient safety and improve the rate of out-of-bed activities in patients with invasive mechanical ventilation.
关键词
重症监护室/离床活动/机械通气/评估/质性研究
Key words
Intensive Care Unit/out of bed activity/mechanical ventilation/evaluation/qualitative study
维普
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