新型冠状病毒肺炎防控期间肿瘤临床一线护士的心理体验

A qualitative study on the psychological stress of oncology clinical nurses in the COVID-19 epidemic period

目的:了解新型冠状病毒肺炎防控期间肿瘤临床一线护士的心理体验,为疫情期间临床一线护理人员心理护理干预提供参考和依据。方法:采用质性研究,通过目的采样法选取16名在新型冠状病毒肺炎防控期间工作在肿瘤临床一线的护士进行访谈,采用Colaizzi 7步分析法整理和分析资料。结果:疫情期间肿瘤临床一线护士心理路程经历了4个阶段:疫情初期心理淡漠;疫情暴发出现紧张、担心、恐惧、焦虑的心理;疫情防控参与过程中,逐渐产生正性情绪,积极参与援鄂心理;逐渐适应和认同疫情防控,期待疫情早日结束心理。疫情期间肿瘤临床护士面临多种压力:知识储备不足,工作流程繁琐,部分患者及家属对防护措施不配合。结论:疫情防控期间,肿瘤临床护士存在较大心理压力,且随着疫情发展不断变化,护理管理者应针对不同时期护士心理体验状况,做好临床护士心理疏导,加强知识培训,增强肿瘤临床护士应对突发性公共卫生事件的能力;此外还应做好住院患者及家属防控相关知识的宣教,提高防护实施的依从性,以保证临床工作的顺利进行。

Objective:To evaluate the psychological experience of nurses during COVID-19 epidemic prevention and control period,thus to supply the reference and basis for mental nursing for nurses.Methods:16 nurses who working in the first line of clinical oncology during COVID-19 epidemic period were interviewed,and the data were collated and analyzed using the Colaizzi analysis method.Results:4 stages of psychological journey were summarized in the involved nurses,initial period:indifference;outbreak period:nervous,fear,and anxiety;epidemic prevention and control period:positive emotion and active participation in Wuhan assistance;ending period:adapt and look forward to an early end to the epidemic.During the epidemic period,tumor clinical nurses were faced with various pressures:insufficient knowledge reserve,cumbersome workflow,and incoordination of some relatives of patients.Conclusion:During the epidemic period,oncology nurses have great pressure,which changed with the development of epidemic.The administrator should properly perform psychological counseling and strengthen professional knowledge training for the nurses,meanwhile,to improve compliance of patients and their families with the implementation of protection.