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为新冠肺炎患者提供护理的重症监护室护士的保护反应:一项定性研究

Protective reactions of ICU nurses providing care for patients with COVID-19: a qualitative study.

作者信息

Moradi Yaser, Baghaei Rahim, Hosseingholipour Keyvan, Mollazadeh Farzin

机构信息

Patient Safety Research Center, Clinical Research Institute, Nursing and Midwifery School, Urmia University of Medical Sciences, Urmia, Iran.

出版信息

BMC Nurs. 2021 Mar 17;20(1):45. doi: 10.1186/s12912-021-00567-6.

DOI:10.1186/s12912-021-00567-6
PMID:33731097
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7968575/
Abstract

BACKGROUND

The exponential spread of COVID-19 has caused a huge threat to public health worldwide. Providing care for patients with COVID-19 is a stressful experience for ICU nurses, which can affect their protective reactions. The present study was conducted to explore the protective reactions of ICU nurses providing care for patients with COVID-19.

METHODS

This qualitative descriptive study was conducted to discover the protective reactions of nurses providing care for patients with COVID-19. A total of 14 ICU nurses were selected by purposive sampling. Data were collected using individual semi-structured face-to-face interviews. All interviews were recorded, and then codes and themes were extracted using content analysis method.

FINDING

Seventeen subcategories, six categories and two themes were extracted from the analysis of data. These themes include "Unbalanced self-protective reactions" and "Responsible self-protective reactions".

CONCLUSION

During the COVID-19 epidemic and crisis, ICU nurses exhibit different self-protective reactions when providing care for patients with COVID-19, which include unbalanced and responsible reactions. Nursing managers can mitigate these unbalanced reactions by identifying them and their roots. Identifying the protective reactions of ICU nurses in providing care for patients with COVID-19 could assist in developing the necessary interventions to promote positive reactions and reduce unbalanced reactions by finding their root causes.

摘要

背景

新型冠状病毒肺炎(COVID-19)的指数级传播对全球公共卫生造成了巨大威胁。为COVID-19患者提供护理对重症监护病房(ICU)护士来说是一段压力巨大的经历,这可能会影响他们的防护反应。本研究旨在探讨ICU护士为COVID-19患者提供护理时的防护反应。

方法

本定性描述性研究旨在发现为COVID-19患者提供护理的护士的防护反应。通过目的抽样选取了14名ICU护士。采用个体半结构化面对面访谈收集数据。所有访谈均进行录音,然后使用内容分析法提取代码和主题。

结果

数据分析提取出了17个子类别、6个类别和2个主题。这些主题包括“自我防护反应失衡”和“自我防护反应尽责”。

结论

在COVID-19疫情和危机期间,ICU护士在为COVID-19患者提供护理时表现出不同的自我防护反应,包括失衡反应和尽责反应。护理管理者可以通过识别这些失衡反应及其根源来减轻它们。识别ICU护士在为COVID-19患者提供护理时的防护反应,有助于通过找出其根本原因来制定必要的干预措施,以促进积极反应并减少失衡反应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cafe/7971955/1f8d48df111f/12912_2021_567_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cafe/7971955/1f8d48df111f/12912_2021_567_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cafe/7971955/1f8d48df111f/12912_2021_567_Fig1_HTML.jpg

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Coronavirus Disease 2019-COVID-19.新型冠状病毒肺炎。
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Covid-19: Doctors still at "considerable risk" from lack of PPE, BMA warns.英国医学协会警告称,新冠疫情下,医生因缺乏个人防护装备仍面临“相当大的风险”。
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