肿瘤科护士使用手臂输液港真实体验的质性研究
Qualitative research on the real experience of oncology nurses in using arm port
聂圣肖 1宋葵 1王培 2崔健 3李雪芹 4郭晓然 2孙红5
作者信息
- 1. 北京医院护理部国家老年医学中心 中国医学科学院老年医学研究院,北京 100730
- 2. 北京医院肿瘤科国家老年医学中心 中国医学科学院老年医学研究院,北京 100730
- 3. 北京医院甲状腺乳腺疝外科病房国家老年医学中心 中国医学科学院老年医学研究院,北京 100730
- 4. 北京医院日间病房国家老年医学中心 中国医学科学院老年医学研究院,北京 100730
- 5. 北京医院国家老年医学中心 中国医学科学院老年医学研究院,北京 100730
- 折叠
摘要
目的 深入了解肿瘤科护士使用手臂输液港的真实感受,为采取针对性干预措施,减少护士使用手臂输液港过程中的问题,持续提升静脉治疗品质提供依据.方法 采用目的抽样法,于2023年10-11月选取北京医院肿瘤科13名护士进行深入访谈,用Colaizzi 7步分析法分析资料.结果 共提炼出3个主题:正性体验(安全感高、获益感),成长与反思,负性体验(对未知风险的担忧、紧张与压力).结论 手臂输液港作为一种较为安全的给药途径,值得进一步推广应用.肿瘤科护士在使用手臂输液港过程中存在许多担忧,建议医护联合加强对患者的全面评估,同时建议管理者针对薄弱环节,给予相应的培训和指导,缓解护士在使用手臂输液港过程中的顾虑,以便为患者提供更高品质的静脉治疗护理服务.
Abstract
Objective To understand the real feelings of oncology nurses in using arm port,so as to provide basis for taking targeted intervention measures to reduce the problems in the process of nurses using arm port and continuously improve the quality of intravenous therapy.Methods Using the purposive sampling method,a total of 13 nurses from Oncology Department of Beijing Hospital were selected for in-depth interviews from October to November 2023,and the data were analyzed using Colaizzi's 7-step analysis method.Results Three themes were extracted,including positive experiences(high sense of security and benefit),growth and reflection and negative experiences(concerns about unknown risks,tension and stress).Conclusions As a relatively safe route of administration,arm port is worthy of further promotion and application.There are many concerns among oncology nurses during the use of arm port.It is recommended that medical staff jointly strengthen comprehensive evaluations of patients and managers provide corresponding training and guidance for weak links to alleviate nurses'concerns during the use of arm port,in order to provide patients with higher quality intravenous treatment nursing services.
关键词
完全植入式静脉输液港/肿瘤科护士/手臂输液港/真实体验/质性研究Key words
Totally implantable venous access port/Oncology nurse/Arm port/Real experience/Qualitative research引用本文复制引用
基金项目
中央高水平医院临床科研业务费项目(BJ-2022-189)
中国医学科学院医学与健康科技创新工程项目(2021-I2M-C&T-B-095)
出版年
2024
NETL
NSTL
万方数据