首批抗击新型冠状病毒肺炎护士对医疗器械相关压力性损伤防护认知的质性研究

A qualitative study on the cognition of the first group of nurses to protect against instrument-related stress injury in the novel coronavirus pneumonia

目的探讨首批抗击新型冠状病毒肺炎护士对医疗器械相关压力性损伤防护认知状况,为制定和实施相关培训,改进管理措施提供参考。方法采用质性研究中现象学研究方法,对2020年1月20日至2月17日浙江大学金华医院首批抗击新型冠状病毒肺炎工作中出现医疗器械相关压力性损伤的13名护士进行一对一半结构式深入访谈,采用Colaizzi现象学分析法对访谈资料进行分析。结果共提炼出理论知识认知度偏低、危险因素识别局限、风险评估未落实、处理措施不及时、缺乏防护意识、管理培训不完善、医用防护物资不足7个主题。结论首批抗击新型冠状病毒肺炎护士对医疗器械相关压力性损伤防护认知度较低,医院管理者应加强对其相关知识的培训,改进管理策略,增强其防护意识,早期识别危险因素,定期加强风险评估,采取预防性措施,及时保障抗疫人员的安全与健康。

To explore the protective cognition of the first batch of nurses against novel coronavirus pneumonia on apparatus-related stress injury,so as to provide reference for formulating and implementing relevant training and improving management measures.Methods Using the phenomenological method of qualitative research,from January 20,2020 to February 17,2020,a half structured in-depth interview was conducted among the echelon nurses who completed the first batch of nurses against novel coronavirus pneumonia on apparatus-related stress injury.A total of 13 nurses in isolation wards were interviewed for the study.Results Using the method of Colaizzi phenomenology to analyze the interview data,the related knowledge cognition was low,the identification of risk factors was limited,the risk assessment was not carried out,the treatment measures were not timely,the awareness of protection was lacking,the management training was not perfect,and the medical protection materials were not enough.Conclusion The first batch of nurses to fight against novel coronavirus pneumonia had a low awareness of the prevention of medical device-related stress injury.Hospital managers should strengthen the training of related knowledge,improve management strategies,enhance the awareness of protection,and identify risk factors early,take preventive measures to ensure the safety and health of front-line medical staff in a timely manner.