护士照护不明原因发热病人照护体验的质性研究

The qualitative research on the nursing experience of nurses in nursing patients with fever of unknown origin

目的：分析护士在护理不明原因发热（FUO）病人临床护理实践中的照护经验。方法：选择2012年4月-2013年5月有护理FUO病人经验的20名执业注册护士为研究对象,以质性研究的现象学分析方法为指导,通过应用Edmund Husserl观点构成的诠释现象方法对研究对象进行访谈,运用Colaizzi分析程序对访谈资料进行分析。结果：从事FUO护理的护士普遍存在紧张、恐惧、无奈等负性情绪体验,存在职业价值观的改变。护士临床护理FUO实践的真实体验受到病人疾病特点以及家属对FUO护理工作干预等外界因素的影响。结论：应给予从事FUO病人临床护理实践的护士予以规范化系统化培训,关注她们的心理健康以及职业发展。

Objective：To analyze nursing experience of nurses in nursing patients with fever of unknown origin（ FUO）.Methods：Selected 20 registered nurses who had nursing experience of FUO patients from April 2012 to May 2013 as research objects.Under the guidance of phenomenological analysis method of qualitative research,used the phenomenological interpretation method consist of Edmund Husserl＇s opinions to interview the research objects and then made analysis of the interview materials with Colaizzi analytical procedure.Results：The nurses who had cared FUO patients generally had emotional experience of tension,fear and helplessness as well as changes of occupational values.The nurses＇ authentic experience of clinical nursing practice of FUO patients was influenced by external factors such as disease features of patients and intervenes from patients＇ family.Conclusion：The nurses who are occupied in clinical nursing practice of FUO patients should be given standardized and systematic training and more concern of their psychological health and occupational development.