消化内科护士对炎症性肠病青少年患者过渡期准备认知的质性研究

Qualitative study on cognition of transition readiness of adolescent patients with inflammatory bowel disease by gastroenterology nurses

目的:了解消化内科护士对炎症性肠病青少年患者过渡期准备的认知情况,为管理者制定有效措施提高护士过渡期准备认知、促进过渡期准备护理进一步完善和实施提供依据。方法:采用目的抽样法,对上海市某两家三级甲等医院消化内科护理炎症性肠病患者的14名护士进行半结构式深入访谈,采用Colaizzi7步分析法对访谈资料进行整理。结果:共提炼出4个主题,分别为认同过渡期准备的必要性、缺乏过渡期准备相关知识、过渡期准备评估实施欠佳及过渡期准备过程管理不足。结论:消化内科护士重视炎症性肠病青少年患者过渡期准备,但其认知和实践具有局限性,护理管理者应采用科学方法提高其认知和行为实践,对青少年患者过渡期准备度进行准确评估,并建立和实施相关管理规范,促进青少年患者向成人顺利过渡。

Objective:The study deeply understands gastroenterology nurses′cognition of adolescent patients′transition readiness of inflammatory bowel disease,so as to providing a basis for managers to develop effective measures to improve nurses′cognition of adolescent patients′transition readiness and promote the further improvement and implementation of transition readiness nursing.Methods:Objective sampling method was used to conduct semi-structured in-depth interviews with 14 nurses nursing inflammatory bowel disease in the gastroenterology department in two Class A tertiary hospitals in Shanghai.The interview data were explored by Colaizzi 7-step analysis method.Results:Four themes were identified including recognition of the need for transition readiness,lack of transition readiness knowledge,poor implementation of transition readiness assessments and inadequate management of the transition readiness process.Conclusion:Gastroenterology nurses attach importance to the transition readiness of adolescent patients with inflammatory bowel disease,but their cognition and practice have limitations.Nursing managers should adopt scientific methods to improve nurses′cognition and behavioral practice,accurately evaluate the transition readiness of adolescent patients,and implement relevant management norms to promote the smooth transition of adolescent patients to adults.