CAJ | 학술논문

目的探讨患者留置尿管期间的心理感受,分析相关应激源对患者的影响,为护理工作者制定针对性处理措施,指导临床实践,提供依据.方法采用现象学研究方法探讨10例留置尿管患者的真实体验,以半结构式的深人访谈取得访谈资料,对访谈资料以缩减、分类、诠释、提炼的方法进行分析,提炼主题.结果访淡共提炼出5个主题:缺乏留置尿管会阴擦洗的相关知识;精神紧张,情绪波动、烦躁;自身痛苦不被重视和理解;自卑和无助;操作环境对患者感受有影响.结论操作者应重视患者主观感受的讲解,根据患者尿道宽窄选用导尿管型号,尊重患者意见选择不同的操作环境,最大限度地体现人文关怀,还应重视应激反应对病情的影响,制定个性化、人性化护理措施,提升护理质量.
목적 탐토환자류치뇨관기간적심리감수,분석상관응격원대환자적영향,위호리공작자제정침대성처리조시,지도림상실천,제공의거.방법 채용현상학연구방법탐토10례류치뇨관환자적진실체험,이반결구식적심인방담취득방담자료,대방담자료이축감、분류、전석、제련적방법진행분석,제련주제.결과 방담공제련출5개주제:결핍류치뇨관회음찰세적상관지식;정신긴장,정서파동、번조;자신통고불피중시화리해;자비화무조;조작배경대환자감수유영향.결론 조작자응중시환자주관감수적강해,근거환자뇨도관착선용도뇨관형호,존중환자의견선택불동적조작배경,최대한도지체현인문관부,환응중시응격반응대병정적영향,제정개성화、인성화호리조시,제승호리질량.
Objective To investigate the real-life experiences of peri-operative indwelling catheter in patients with perineal scrub Methods The real-life experiences of 10 patients with indwelling catheter were investigated by phenomenological research methods,a semi-structured interviews was adopted to obtain in-depth interviews.Results Five themes were extracted from interviews:the lack of related knowledge of perineal scrub indwelling catheter;mental stress,mood swings,irritability;their own pain not be taken seriously and understood;inferiority and helplessness;operating conditions affecting the patient experience.Conclusions Operator should pay attention to patients'feelings;width chosen according to the patients'urethral catheter model;respect the views of patients'choise to adopt different operating environment,maximize reflected humanistic care;should also focus on the impact of stress on the illness to develop personality oriented,humanistic nursing measares to enhance the quality of nursing.