披着羊皮的狼？患者和医护人员对氧疗的认知：一项诠释现象学分析。
A wolf in sheep's clothing? Patients' and healthcare professionals' perceptions of oxygen therapy: An interpretative phenomenological analysis.
作者信息
Kelly Carol A, Lynes Dave, O'Brien Mary R, Shaw Ben
机构信息
Edge Hill University, Ormskirk, Lancashire, L39 4QP, UK.
Edge Hill University and Liverpool Women's NHS Foundation Trust, Crown Street, Liverpool L8 7SS, UK.
出版信息
Clin Respir J. 2018 Feb;12(2):616-632. doi: 10.1111/crj.12571. Epub 2016 Nov 13.
BACKGROUND
Despite emerging evidence and guidelines, poor prescribing and administration of oxygen therapy persists. This study aimed to explore healthcare professionals' (HCPs) and patients' perceptions of oxygen.
DESIGN
Semi-structured interviews with 28 patients and 34 HCPs.
FINDINGS
Three master themes uncovered: oxygen as a panacea, the burden of oxygen and antecedents to beliefs. Patients used oxygen for breathlessness and as an enabler; they were grateful to oxygen and accepted it as part of the disease. HCPs used oxygen because it helps patients; it works; and it makes HCPs feel better. But oxygen is not benign and a burden is evident with potential antecedents to beliefs revealed.
SUMMARY
The findings suggest that a set of fixed beliefs regarding oxygen exist, influenced by several impacting factors. The perception that oxygen is a universal remedy presides, but is, at times, contradictory. These findings will raise awareness of entrenched cultures, influence future educational and research strategies, and inform policy.
背景
尽管有新出现的证据和指南，但氧疗的处方和使用情况仍然不佳。本研究旨在探讨医疗保健专业人员（HCPs）和患者对氧气的看法。
设计
对28名患者和34名医疗保健专业人员进行半结构化访谈。
结果
发现了三个主要主题：氧气是万灵药、氧气的负担以及信念的成因。患者将氧气用于缓解呼吸困难并作为一种助力；他们感激氧气并将其视为疾病的一部分。医疗保健专业人员使用氧气是因为它对患者有帮助；它有效；而且它让医疗保健专业人员感觉更好。但氧气并非无害，其负担明显，同时还揭示了信念的潜在成因。
总结
研究结果表明，受多种影响因素的作用，存在着一套关于氧气的固定信念。认为氧气是一种通用疗法的观念占主导地位，但有时也自相矛盾。这些研究结果将提高对根深蒂固的文化的认识，影响未来的教育和研究策略，并为政策提供参考。
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