心脏重症监护护护士在开放心脏手术后首次离床调动患者时遇到的挑战:一种描述性的现象学定性研究
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Updated: Jul 4, 2025

Implantation of the Syncardia Total Artificial Heart
Published on: July 18, 2014
Seher Ünver1, Meltem Yildirim2,3, Sevim Akbal4
1Department of Surgical Nursing, Faculty of Health Sciences, Trakya University, Edirne, Türkiye.
心脏ICU护士在手术后的第一个患者动员过程中面临挑战. 解决方案包括患者教育和更好的人员配置,以改善护理和护士患者关系.
科学领域:
- 护理科学 护理科学
- 密集护理医学 密集护理医学
- 患者的流动性 患者的流动性
背景情况:
- 早期动员对于心脏手术恢复至关重要.
- 心脏重症监护室 (ICU) 对患者动员提出了独特的挑战.
- 了解护士的经验是优化术后护理的关键.
研究的目的:
- 确定心脏ICU护士在开放心脏手术后的初始床外动员期间面临的挑战.
- 探索这个关键的护理任务的潜在解决方案和促进者.
- 提高了解早期流动性期间的护士-患者动态.
主要方法:
- 定性描述性的现象学研究.
- 通过视频会议与经验丰富的心脏ICU护士进行的个人采访.
- 数据使用ATLAS.ti 8.0进行分析,遵循COREQ的指导方针.
主要成果:
- 护士报告的挑战包括患者的恐惧,不情愿,人力不足和缺乏经验.
- 积极的结果包括增加了护士的幸福感,改善了团队沟通,加强了护士与患者的关系.
- 确定的促进者是患者的动机和对动员过程的明确解释.
结论:
- 患者和护士相关因素显著影响心脏手术后的第一次动员.
- 医疗机构应解决人员短缺问题,并支持护士的动力.
- 患者教育和组织支持对于成功和安全的动员至关重要.
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