胫腓骨骨折患者3D打印个体化外固定架固定术前心理体验的质性研究

Qualitative research onthe psychological experience of patients with fracture of tibia and fibula that treated with 3D printing individualized external fixation

目的探索胫腓骨骨折患者3D打印个体化外固定架固定术前的心理体验，为医护人员的治疗和护理提供依据。方法通过目的抽样，选择2013年12月—2015年11月西安交通大学医学院附属红会医院中西医结合骨科行3D打印个体化外固定架固定术前的7例胫腓骨骨折患者为访谈对象，采用质性研究中的现象学研究方法，结合多种形式访谈，应用Colaizzi内容分析法对收集的资料内容进行分析，整理和提炼主题。结果针对胫腓骨骨折患者个体化3D打印外固定架治疗术前心理体验提炼出了4个有效主题：不确定感；手术效果期望高，但3D打印相关知识缺乏；担忧疾病经济负担；渴望家庭系统支持。结论医护人员应重视胫腓骨骨折患者3D打印个体化外固定架固定术前的心理感受，有针对性地进行心理护理，提供有效的护理干预和健康教育，进一步促成将3D外固定架纳入社会医疗保险范畴，减轻患者负担。

Objective To explore preoperative psychological experience in patients with the tibia and fibula fracture that treated with 3D printing individualized external fixation, and provide theoretical basis for the medical treatment and care.Methods From December 2013 to November 2015, sevenpatentstreated with 3D printing individualized external fixation in Xi＇an Honghui Hospital, Xi＇ an Jiaotong University Health Science Center were selected as the interview object. This qualitative study was completed by phenomenon research methods, and combined with a variety of forms of interview.Colaizzi content analysis method was used to analyze the contents of collected data, and sort and refine the theme. Results Four effective subjects were extracted about preoperative psychological experience in patients with the tibia and fibula fracture treated with 3D printing individualized external fixation, in turn were uncertainty effect of surgery ; high expectations, but the lack of knowledge about 3D printing, economic burden of disease; longing for family support system. Conclusions Medical staff should pay attention to preoperative psychological feelings in patients with the tibia and fibula fracture treated with 3D printing individualized external fixation, deal with a targeted psychological nursing and coping style, provide an effective nursing intervention and health education, further more optimize the 3D external fixation cost, and ineorporate the 3D external fixation into the social medical insurance category.