对颌骨骨折坚固内固定术患者心身感受的质性研究

Strong Internal Fixation for Jaw Fracture in Patients with Psychosomatic Feelings of Qualitative Research

了解颌骨骨折坚固内固定术患者不同阶段的心理和躯体感受,以便为其提供人性化的人文护理服务,使患者满意,使优质护理服务得到落实。采用立意取样法选取研究对象,对选取的31例颌骨骨折坚固内固定术患者采用质性研究中的现象学方法进行深度访谈,并对资料进行整理和分析。结果发现患者在三个阶段中的护理问题如下:(1)手术前:自我形象紊乱、功能障碍和焦虑。(2)手术后:舒适受到影响和愧疚感等。(3)出院时:渴求信息。本研究能规范颌骨骨折坚固内固定术患者人文护理的具体内容,改善其护理问题。

The objective of this study is to explore the mental feelings and physical experience of patients treated by jaw bone fracture fixation technique, so as to cater for patients with high quality nursing service and humanistic care. Methods： Select 31 patients with jaw bone fracture as the research object via purposive sampling method and then make in-depth interview with them via phenomenological way. Research data and materials have been preserved for further analysis. Results： Some specific performances of the patients have been identified in three different stages during the nursing process： （1） pre-surgery stage： self-image disorder, dysfunction and anxiety~ （2） post-surgery stage： uncomfortable state and guilt; （3） at discharge： being thirsty for information. This study exemplifies jaw bone fracture fixation technique and is taken as an improvement program for humanistic care of nursing service.