护士对原发性干燥综合征相关间质性肺病患者肺康复护理体验的质性研究

A qualitative study of nurses'experience in pulmonary rehabilitation of primary Sjogren's syndrome-related interstitial lung disease

目的探讨护士在为原发性干燥综合征相关间质性肺病患者提供肺康复护理过程中的体验,为促进高质量的肺康复护理提供依据。方法2020年6月—2021年3月对扬州市2所三级甲等综合医院呼吸与危重症医学科护士进行半结构式访谈,并使用Colaizzi 7步分析法进行数据的收集及整理,分析提炼主题。结果分析得出四大主题:肺康复训练中护士存在诸多压力,肺康复护理难度大;领悟肺康复知识的重要性,学习肺康复知识意愿强;感知肺康复前需做好准备工作,完善肺康复全程评估;期望多学科合作,获得管理者及家属等多方面支持。结论需重视护士在为原发性干燥综合征相关间质性肺病患者提供肺康复护理过程中的压力和需求,在促进护士身心健康的同时,强化肺康复知识培训,优化肺康复管理模式及鼓励家属参与,提升护士肺康复的护理能力。

Objective To explore the experience of nurses in providing pulmonary rehabilitation nursing for patients with primary Sjogren's syndrome(PSS)-related interstitial lung disease(ILD),so as to provide a basis for promoting high-quality pulmonary rehabilitation nursing.Methods From June 2020 to March 2021,the semi-structured interview method was used to conduct in-depth interviews with nurses in the respiratory and critical care medicine departments of two tertiary class A general hospitals in Yangzhou City,and the Colaizzi 7-step analysis method was used to collect,organize,analyze the data and extract the theme.Results Four major themes were analyzed:many pressures of nurses during pulmonary rehabilitation training and difficulty in pulmonary rehabilitation care;appreciation of the importance of pulmonary rehabilitation knowledge and strong willingness to learn about pulmonary rehabilitation;perceiving the needs of good preparation before pulmonary rehabilitation and improving of the whole pulmonary rehabilitation assessment;expecting multidisciplinary cooperation and obtaining support from various aspects such as managers and family members.Conclusion It is necessary to pay attention to the pressure and needs of nurses in the process of providing pulmonary rehabilitation nursing for patients with primary Sjogren's syndrome-related interstitial lung disease.While promoting the physical and mental health of nurses,we should strengthen the learning of pulmonary rehabilitation knowledge,optimize the pulmonary rehabilitation management model of sports and medical integration,and encourage family members to participate,so as to improve the nursing ability of nurses in pulmonary rehabilitation.