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中国抗击 2019 冠状病毒病一线护士的经验:定性分析。

Experiences of front-line nurses combating coronavirus disease-2019 in China: A qualitative analysis.

机构信息

Department of Nursing, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Department of Cardiovascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

出版信息

Public Health Nurs. 2020 Sep;37(5):757-763. doi: 10.1111/phn.12768. Epub 2020 Jul 17.

Abstract

OBJECTIVE

To explore the experiences of front-line nurses combating the coronavirus disease-2019 epidemic.

DESIGN AND SAMPLE

Fifteen front-line nurses caring for COVID-19 patients were recruited from two hospitals in Wuhan, China from January 26 to February 5, 2020. Data were collected through semi-structured individual interviews and analyzed using standard qualitative methods.

RESULTS

Four theme categories emerged from the data analysis: (a) "Facing tremendous new challenges and danger"; (b) "Strong pressure because of fear of infection, exhaustion by heavy workloads and stress of nursing seriously ill COVID-19 patients"; (c) "Strong sense of duty and identity as a healthcare provider"; (d) "Rational understanding of the epidemic-the nurses believed that the epidemic would soon be overcome and would like to receive disaster rescue training."

CONCLUSIONS

Although the intensive rescue work drained front-line nurses, both physically and emotionally, they showed a spirit of dedication and felt a responsibility to overcome this epidemic. Their experiences provide useful insights into implementing a safer public health emergency rescue system in preparation for future outbreaks of infectious diseases. Specifically, psychological support and humanistic care should be provided to front-line nurses to maintain their well-being, and nationwide emergency rescue training and disaster education should be implemented.

摘要

目的

探索抗击 2019 年冠状病毒病疫情一线护士的经验。

设计和样本

2020 年 1 月 26 日至 2 月 5 日,从中国武汉的两家医院招募了 15 名照顾 COVID-19 患者的一线护士。通过半结构式个人访谈收集数据,并使用标准的定性方法进行分析。

结果

从数据分析中得出了四个主题类别:(a)“面临巨大的新挑战和危险”;(b)“由于担心感染、工作量大导致疲惫不堪以及护理重症 COVID-19 患者的压力而承受巨大压力”;(c)“强烈的医护人员责任感和身份认同感”;(d)“对疫情的理性认识——护士们相信疫情很快就会得到控制,并希望接受灾难救援培训。”

结论

尽管密集的救援工作使一线护士在身体和情感上都感到疲惫,但他们表现出了奉献精神,并感到有责任克服这场疫情。他们的经验为实施更安全的公共卫生应急救援系统提供了有用的见解,以应对未来传染病的爆发。具体而言,应提供心理支持和人文关怀,以维护一线护士的健康,并应在全国范围内实施紧急救援培训和灾难教育。

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