前列腺癌术后尿失禁患者"互联网+护理服务"认知及需求的质性研究

Cognition and needs of patients with urinary incontinence after prostate cancer surgery on"Internet+nursing services":a qualitative study

目的探讨前列腺癌术后尿失禁患者对"互联网+护理服务"的认知及护理需求,旨在为实施优质延续护理服务提供依据。方法根据现象学研究方法,采用立意抽样法,选取2021年10—12月宁波大学医学院附属医院泌尿外科的15例前列腺癌根治术后尿失禁患者作为研究对象,使用半结构式访谈收集资料,采用Colazzi分析法对资料进行整理、分析、提炼主题。结果患者对"互联网+护理服务"的认知度存在偏差,多方面因素影响尿失禁患者对"互联网+护理服务"的使用意愿:促进使用意愿的因素包括突发公共卫生事件、交通、身体和心理因素;阻碍使用意愿的因素包括信息安全、操作和经济因素。对"互联网+护理服务"提供内容的需求包括康复治疗相关知识和支持性关系需求。对"互联网+护理服务"提供方式的需求包括建立"朋友圈",取得病友支持;"线上看诊,线下护理"的需求;丰富健康教育形式的需求。结论医护人员应充分发挥"互联网+护理服务"的作用,针对尿失禁患者的特点,采用图文结合、视频游戏、打卡互动等丰富"互联网+护理服务"形式,满足患者康复训练、医护沟通、病友支持等多方面的需求,同时加强"互联网+护理服务"操作的便捷性和服务的时效性,以促进"互联网+护理服务"的长足发展。

Objective To explore the cognition and nursing needs of patients with urinary incontinence after prostate cancer surgery on"Internet+nursing service",so as to provide basis for the implementation of high-quality continuous nursing service.Methods According to the phenomenological research method,15 patients with urinary incontinence after radical prostatectomy in the Urology Surgery Department of the Affiliated Hospital of Medical School,Ningbo University from October to December 2021 were selected as the research object by intentional sampling method.Semi-structured interview was used to collect data,and Colazzi method was used to sort out,analyze and refine the subject.Results The patients'awareness of"Internet+nursing service"was biased.Many factors affected the willingness of patients with urinary incontinence to use"Internet+nursing service".Factors that promoted willingness to use included public health emergency,traffic,physical and psychological factors.Factors impeding willingness to use included information security,operational and economic factors.The need for the content of"Internet+nursing service"included the need for rehabilitation treatment related knowledge and supportive relationships.The need for"Internet+nursing service"included the need to establish a"circle of friends"to obtain support from patients,the need for"online consultation,offline nursing",and the need to enrich the form of health education.Conclusions The medical and nursing staff should give full play to the role of"Internet+nursing service",and according to the characteristics of patients with urinary incontinence,enrich the"Internet+nursing service"in the form of combination of graphics and text,video games,punch card interaction,to meet the needs of patients in rehabilitation training,doctor-nurse communication,patient support and other aspects,while strengthening the convenience of the operation of"Internet+nursing service"and the timeliness of the service,so as to promote the rapid development of"Internet+nursing service".