冠心病PCI术后病人住院期间赋权护理体验的质性研究

Qualitative study on empowerment nursing experiences in coronary heart disease patients after PCI during hospitalization

[目的]深入了解冠心病经皮冠状动脉介入治疗术(PCI)术后病人住院期间对于赋权护理的真实体验,为制定有效的护理措施,满足病人的护理需求提供直接依据。[方法]采用目的抽样,选取符合条件的10例冠心病PCI术后病人进行半结构式访谈,收集资料并分析访谈对象的真实感受。[结果]通过现象学分析法,归纳出研究主题即以下5个结果:期望得到家庭、社会的关怀与支持;疾病相关知识需求较高;自我管理能力欠佳;术后担忧较多,存在心理负担;对疾病的认知程度较低。[结论]护理人员可通过对病人提供针对性的赋权护理措施,促进其恢复身心健康,提高术后生活质量。

Objective To deeply understand the real experiences of coronary heart disease patients after PCI dur-ing hospitalization about empowerment nursing, in order to provide direct evidences for formulating effectivenursing measures and meet the nursing needs of pat ients. Methods： Ten coronary heart disease patients afterPCI were chosen by purposive sampling and they received the semi structured interviewand analyze the real feelings of the interviewee. Results： Phenomenological methodology five themes were determined, such as that they expected to receive the concern and support from family and so-ciety ;the demand for disease related knowledge was high ; the self - management ability was poor ; the postopera-tive worries was more and there was psychological burden;and the awareness of disease was poor. Conclusion：Nursing personnel can provide the targeted empowerment nursing for patient to chological recovery and improve the quality of life after surgery.