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基于医护视角的老年肺癌患者围术期需求认知的质性研究 被引量:13

A qualitative study on perioperative need recognition of elderly patients with lung cancer from the perspective of doctors and nurses
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摘要 目的 通过医护的视角探讨老年肺癌手术患者围术期需求的认知情况,为改进老年肺癌患者围术期护理措施提供依据.方法 2016年6 —9月,采用目的抽样法选取17名医生和护士进行面对面半结构式访谈,现场录音,借助NVivo 8.0软件,根据Colaizzi 的7步分析法对资料进行分析,提炼主题.结果 基于医护视角的老年肺癌患者围术期需求的认知可归纳为4个主题:对患者社会支持系统的迫切需求;对围术期进行营养筛查的需求;自我照护与协助的需求;提升医患沟通能力的需求.结论 护理管理者应重视从医护人员的视角出发,满足老年肺癌患者围术期的需求,针对需求提出相应的干预措施,以提高老年肺癌患者围术期的护理质量. Objective To explore the recognition of perioperative needs of elderly lung cancer patients from the perspective of doctors and nurses and provide evidence for improving perioperative nursing measures in elderly patients with lung cancer. Methods Totally 17 doctors and nurses were selected by purposive sampling and received face-to-face semi-structural interview during June to September 2016. The data were analyzed with NVivo 8.0 according to Colaizzi's seven-step analysis method to refine the topic. Results The recognition of perioperative needs of elderly patients with lung cancer from the perspective of doctors and nurses could boil down to four topics: the urgent need for the patient's social support system, the need for perioperative nutrition screening, the need for self-care and assistance, and the need for improving doctor-patient communication skills. Conclusions Nursing managers should pay attention to meet the perioperative needs of elderly patients with lung cancer from the perspective of medical workers and put forward appropriate interventions based on their needs in order to improve the perioperative nursing quality of elderly patients with lung cancer.
作者 严晓霞 侯黎莉 丁君蓉 商丽艳 Yan Xiaoxia;Hou Lili;Ding Junrong;Shang Liyan(Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Shanghai 200433, Chin)
出处 《中华现代护理杂志》 2018年第8期904-907,共4页 Chinese Journal of Modern Nursing
基金 上海市科学技术委员会项目(16411951900)
关键词 老年人 肺肿瘤 围手术期护理 护理需求 质性研究 Aged Lung neoplasms Perioperative nursing Nursing needs Qualitative study
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