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胸心外科手术患者围术期访谈分析
引用本文:姚静静,张陈花,朱大乔.胸心外科手术患者围术期访谈分析[J].解放军护理杂志,2011,28(5):1-5.
作者姓名:姚静静  张陈花  朱大乔
作者单位:第二军医大学,护理学院,上海,200433
摘    要:目的了解和探索胸外科手术患者围术期的真实感受。方法采用目的性抽样,选取长海医院胸心外科住院患者共10例,采用半结构式访谈提纲,深度访谈并记录10例胸心外科术后患者的感受。结果访谈共提炼出6个主题:(1)关注患者的心理状态至关重要;(2)ICU期间呼吸机使用的痛苦是麻醉苏醒时的第一不适;(3)确定手术效果是患者麻醉苏醒后的第一需要;(4)睡眠障碍是ICU期间较突出的问题;(5)患者ICU治疗期间心理负担过重;(6)文化水平与患者需求之间具有相关性。结论胸心外科围术期患者生理和心理都受到极大的冲击,护理人员应提供系统完善的整体护理,根据患者文化程度和认知水平的不同,为其提供适宜的护理措施,系统性和有针对性地提供临床护理,以减轻患者的多种不适。

关 键 词:胸心外科  围术期  真实感受  访谈

Interview and Analysis on Real Experience of Patients in Cardiothoracic Surgery Department during the Perioperative Period
YAO Jing-jing,ZHANG Chen-hua,ZHU Da-qiao.Interview and Analysis on Real Experience of Patients in Cardiothoracic Surgery Department during the Perioperative Period[J].Nursing Journal of Chinese People's Liberation Army,2011,28(5):1-5.
Authors:YAO Jing-jing  ZHANG Chen-hua  ZHU Da-qiao
Institution:YAO Jing-jing,ZHANG Chen-hua,ZHU Da-qiao(School of Nursing,Second Military Medical University,Shanghai 200433,China)
Abstract:Objective To explore the real experience of patients in cardiothoracic surgery department during the perioperative period.Methods By purposive sampling,10 patients were chosen in Department of Cardiothoracic Surgery,Changhai Hospital.Semi-constructed interviews were performed among the 10 patients about their real experience during the perioperative period.Results Six themes were refined:(1) It was necessary to pay attention to patients' negative psychological state;(2)Ventilator-related discomfort was pati...
Keywords:cardiothoracic surgery  perioperative period  real experience  interview  
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