经皮冠状动脉介入治疗患者参与术前访视感受的质性研究

doi:10.3761/j.issn.1672-9234.2022.12.012

中华护理教育 ›› 2022, Vol. 19 ›› Issue (12): 1114-1118.doi: 10.3761/j.issn.1672-9234.2022.12.012

经皮冠状动脉介入治疗患者参与术前访视感受的质性研究

杨曾桢(),刘彬,韦清,柏晓玲(),成忠莎,楼婷

550002 贵阳市贵州省人民医院（杨曾桢，刘彬，韦清，成忠莎，楼婷）；贵州护理职业技术学院（柏晓玲）

收稿日期:2022-01-09 出版日期:2022-12-15 发布日期:2022-12-23
通讯作者: 柏晓玲
作者简介:杨曾桢：女，硕士，主管护师，E-mail：408727850@qq.com
基金资助:
贵州省护理学会2018年度立项科研课题(2018GZHLKT36)

The experience of participating the preoperative visit in patients undergoing percutaneous coronary intervention：a qualitative study

YANG Zengzhen(),LIU bin,WEI Qing,BAI Xiaoling(),CHENG Zhongsha,LOU Ting

Received:2022-01-09 Online:2022-12-15 Published:2022-12-23
Contact: Xiaoling BAI

摘要/Abstract

摘要：

目的了解经皮冠状动脉介入治疗患者参与术前访视的感受，为更好开展访视工作提供参考。方法采用现象学研究方法，于2021年7月—8月对10名术前访视后的患者进行半结构式深入访谈，应用Colaizzi 7步分析法对资料进行整理分析。结果共访谈10次，访谈录音约330 min，转录文字约1.8万字，提炼出4个主题：不良情绪得到缓解（恐惧减少、紧张程度降低）、认知与态度发生转变（认识手术过程、了解手术的环境信息、积极配合手术）、得到了人文护理服务（耐心细致、考虑周全）、尚有需求未满足（沟通方式有待加强、渴望正性支持与关怀、期望多样化的访视形式）。结论术前访视能够帮助患者缓解不良情绪，正确认识、积极面对手术，使其感受到关怀与温暖，但尚存在语言沟通、正性支持等不足。护理管理者应予以重视，加强心导管室护士培训，完善术前访视工作，以满足患者身心需求，提高访视满意度。

关键词: 血管成形术, 气囊, 冠状动脉, 手术前护理, 定性研究, 术前访视

Abstract:

Objective To explore the experience of participating the preoperative visit in patients undergoing percutaneous coronary intervention（PCI）. Methods Semi-structured interviews were carried out from July to August 2021. Ten patients who participated in the preoperative visit were recruited. Data were analyzed by Colaizzi’s method. Results The interviews lasted for about 330 minutes and approximately 18，000 words were transcribed. Four themes emerged from the data：negative emotions were relieved（less fear，less nervousness），knowledge and attitude were changed（understanding the PCI process，understanding environmental information，actively cooperate in PCI process），access to humane nursing services（patience and carefulness，thoroughness），unmet needs （communication methods need to be improved，being eager for positive support and care，multiple forms of visits）. Conclusion Patients could relieve negative emotions，correctly understand and actively confront the PCI through preoperative visit，and make them feel care and warmth. However，there are still difficulties in language communication and positive support. Nursing managers should strengthen the training of nurses in cardiac catheterization room，improve the preoperative visit，to meet patients’ physiological and psychological demands，improve the satisfaction level with the preoperative visit.

Key words: Angioplasty, Balloon, Coronary, Preoperative Care, Qualitative Research, Preoperative visit

杨曾桢, 刘彬, 韦清, 柏晓玲, 成忠莎, 楼婷. 经皮冠状动脉介入治疗患者参与术前访视感受的质性研究[J]. 中华护理教育, 2022, 19(12): 1114-1118.

YANG Zengzhen, LIU bin, WEI Qing, BAI Xiaoling, CHENG Zhongsha, LOU Ting. The experience of participating the preoperative visit in patients undergoing percutaneous coronary intervention：a qualitative study[J]. Chinese Journal of Nursing Education, 2022, 19(12): 1114-1118.

图/表 1

参考文献 15

[1]	高润霖. 我国冠心病介入治疗的进展与展望[J]. 中华心血管病杂志, 2019, 47(9):675-679. doi: 10.3760/cma.j.issn.0253-3758.2019.09.002 pmid: 31550832
	Gao RL. Advances and perspectives in coronary intervention in China[J]. Chin J Cardiol, 2019, 47(9):675-679. doi: 10.3760/cma.j.issn.0253-3758.2019.09.002 pmid: 31550832
[2]	杨曾桢, 柏晓玲, 楼婷, 等. 经皮冠状动脉介入术术前访视文献分析及对策研究[J]. 中国实用护理杂志, 2018, 34(29):2257-2262.
	Yang ZZ, Bai XL, Lou T, et al. Literature analysis and countermeasure research on preoperative visit of percutaneous coronary intervention patients[J]. Chin J Prac Nurs, 2018, 34(29):2257-2262.
[3]	江薇, 宋宗叶, 宁振宇, 等. 个性化术前访视在经皮冠状动脉介入诊疗患者围术期护理中的应用[J]. 解放军护理杂志, 2015, 32(20):74-76.
[4]	吕佳芮, 胡仕辉, 吴蕾. 优化型术前访视体系对接受经皮冠状动脉介入术的老年冠心病患者的应用效果[J]. 河南医学研究, 2021, 30(29):5514-5516.
	Lü JR, Hu SH, Wu L. Effect of optimized preoperative visit system on elderly patients with coronary heart disease undergoing percutaneous coronary intervention[J]. Henan Med Res, 2021, 30(29):5514-5516.
[5]	柏晓玲, 杨曾桢, 梁青龙, 等. 经皮冠状动脉介入治疗病人术前访视内容的构建[J]. 护理研究, 2020, 34(20):3692-3696.
	Bai XL, Yang ZZ, Liang QL, et al. Construction of preoperative visit content for patients undergoing percutaneous coronary intervention[J]. Chin Nurs Res, 2020, 34(20):3692-3696.
[6]	李峥, 刘宇. 护理学研究方法[M]. 北京: 人民卫生出版社, 2012.
[7]	常明明, 屈清荣, 张忠玲, 等. ICU高年资护士护理临终患者及经历患者死亡时的体验[J]. 中华护理教育, 2021, 18(10):910-915.
	Chang MM, Qu QR, Zhang ZL, et al. Caring for ICU dying patients and coping with patient death:the perspectives from senior nurses[J]. Chin J Nurs Educ, 2021, 18(10):910-915.
[8]	Huo PX, Li YL, Xiao RJ. Assessment of pre-procedure concerns and anxiety in patients with acute coronary syndrome undergoing percutaneous coronary intervention[J]. South China J Cardiol, 2018, 19(4):279-283.
[9]	Gallagher R, Trotter R, Donoghue J. Preprocedural concerns and anxiety assessment in patients undergoing coronary angiography and percutaneous coronary interventions[J]. Eur J Cardiovasc Nurs, 2010, 9(1):38-44. doi: 10.1016/j.ejcnurse.2009.09.001
[10]	Oktaramdani T, Mudjaddid E, Muhadi, et al. Increased heart rate variability following elective percutaneous coronary intervention in patients with stable coronary artery disease and preprocedural anxiety[J]. Cardiol Res Pract, 2019, 2019:3696825.
[11]	黄朝意, 何璐, 曾洋帆, 等. 国内外术前访视模式的研究进展[J]. 中国当代医药, 2021, 28(27):44-47.
	Huang CY, He L, Zeng YF, et al. Research progress of preoperative visit mode at home and abroad[J]. China Mod Med, 2021, 28(27):44-47.
[12]	Gavigan A, Cain C, Carroll DL. Effects of informational sessions on anxiety precardiovascular procedure[J]. Clin Nurs Res, 2014, 23(3):281-295. doi: 10.1177/1054773813483138 pmid: 23548501
[13]	刘宇伟, 吕淑荣. 个人健康行为改变主要理论及其整合应用[J]. 中国健康教育, 2018, 34(3):284-287.
	Liu YW, Lü SR. A preliminary study on main theories of individual health behavior change and integration[J]. Chin J Heal Educ, 2018, 34(3):284-287.
[14]	高翔, 段晓侠. 基于诺丁斯关怀理论临床护士人文关怀能力评价指标体系的构建[J]. 蚌埠医学院学报, 2022, 47(1):102-109.
	Gao X, Duan XX. Evaluation index system construction of humanistic caring ability for clinical nurses based on Noddings’ caring theory[J]. J Bengbu Med Coll, 2022, 47(1):102-109.
[15]	路瑶, 阚全香, 魏晓康, 等. 医护患沟通障碍及非暴力沟通模式应用的研究进展[J]. 现代医药卫生, 2022, 38(4):632-634.

经皮冠状动脉介入治疗患者参与术前访视感受的质性研究

The experience of participating the preoperative visit in patients undergoing percutaneous coronary intervention：a qualitative study

HTML阅读

PDF下载

赞

可视化

摘要/Abstract

引用本文

使用本文

图/表 1

参考文献 15

相关文章 15

Metrics

本文评价

推荐阅读 0

[1]	韩静,韩菲,周芳,谈子怡,孙旭. 护理专业学生对医院驻点教学模式的适应过程研究[J]. 中华护理教育, 2022, 19(9): 801-805.
[2]	史广玲,张燕红,刘夕珍,杜海燕,刘娟,蒋学娟. 女性尿失禁患者症状管理体验质性研究的Meta整合[J]. 中华护理教育, 2022, 19(9): 824-830.
[3]	姜琳,封海霞,李昉. 转运团队对高危新生儿院际转运突发事件及危险因素的主观认识[J]. 中华护理教育, 2022, 19(9): 831-836.
[4]	唐娇,李福英,张云美,罗忠琛. 中国大学生医学技术技能大赛护理专业学生的参赛动机与成长体验[J]. 中华护理教育, 2022, 19(8): 687-691.
[5]	黄菲菲,林梅莲,王安妮,肖惠敏. 叙事护理教学中教师与学生的体验研究[J]. 中华护理教育, 2022, 19(8): 709-713.
[6]	王怡丹,周滢,王峥,李峥. 护理-信息-工程学方向护理硕士专业学位研究生培养必要性的探索性研究[J]. 中华护理教育, 2022, 19(7): 592-596.
[7]	李晓敏,邓颖. 中职升本科护理专业学生学习体验的现象学研究[J]. 中华护理教育, 2022, 19(4): 293-297.
[8]	曾武祈,陈楚,谢涛,龚海蓉,郑翠红. 接受护理职业教育精准扶贫学生感受和体验的研究[J]. 中华护理教育, 2022, 19(4): 298-302.
[9]	孙景贤,王爱红,刘月仙,徐清情. 护理专业学生专业认同建构体验质性研究的系统评价[J]. 中华护理教育, 2022, 19(4): 331-338.
[10]	陈灵熙, 周云仙. 我国护理领域纵向质性研究文献分析[J]. 中华护理教育, 2022, 19(2): 113-118.
[11]	张静雅, 李少玲, 曹丽华, 卢晓虹, 魏丽丽, 崔岩. 基于互动达标理论的心脏康复训练在冠心病介入治疗术后患者中的应用[J]. 中华护理教育, 2022, 19(2): 160-165.
[12]	王苏醒, 张恩铭, 崔佳嵩, 戴正悦, 沈逸潇, 方琼. 移动医疗程序在老年乳腺癌患者健康管理中的适老化分析[J]. 中华护理教育, 2022, 19(12): 1067-1072.
[13]	傅红琼, 鲁谨, 姚慧, 白茹, 朱美玉. 利益相关者视角下护理专业专职教师临床实践阻力的质性研究[J]. 中华护理教育, 2022, 19(12): 1086-1090.
[14]	张姮, 陈丽霞, 杜世正. 护理专业学生线上学习体验的现象阐释学研究[J]. 中华护理教育, 2022, 19(12): 1091-1095.
[15]	彭泽宇,杨子,王法颍,范宇莹. 护理本科生线上线下混合式学习体验质性研究的Meta整合[J]. 中华护理教育, 2022, 19(10): 886-892.