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新型冠状病毒肺炎危重症患者的直升机转运

The Helicopter Transports of Patients Critically ill with COVID-19.

作者信息

Ejderlöf Jennifer, Engström Åsa

机构信息

Intensive Care Unit, Gällivare Hospital, Gällivare, Sweden.

Department of Health, Education and Technology, Division of Nursing and Medical Technology, Lulea University of Technology, Luleå, Sweden.

出版信息

SAGE Open Nurs. 2022 Apr 21;8:23779608221094108. doi: 10.1177/23779608221094108. eCollection 2022 Jan-Dec.

DOI:10.1177/23779608221094108
PMID:35493543
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9039442/
Abstract

OBJECTIVE

The aim of our study was to describe specialist nurses' experiences with the helicopter transport of patients critically ill with COVID-19.

METHOD

Our study followed a descriptive qualitative design anchored in the naturalistic paradigm and was based on qualitative content analysis. The study followed the consolidated criteria for reporting qualitative research.

RESULTS

Six semi-structured interviews were conducted with specialist nurses who have cared for patients critically ill with COVID-19 during helicopter transport. The analysis of the interviews resulted in three themes-designing new routines before transport, working under new conditions and post-transport and reflections-with 11 categories. The goal of the intensive care transport of patients with COVID-19 was twofold: to prevent the spread of infection by using personal protective equipment and to prevent the contamination of the helicopter.

CONCLUSION

For the nurses, working in personal protective equipment created a feeling of distance from patients that compromised patient-nurse intimacy. Our results suggest that ensuring the sufficiency of equipment required in the event of major accidents and pandemics is critical.

摘要

目的

我们研究的目的是描述专科护士在直升机转运新冠肺炎危重症患者方面的经历。

方法

我们的研究采用了基于自然主义范式的描述性定性设计,并基于定性内容分析。该研究遵循了定性研究报告的统一标准。

结果

对在直升机转运期间护理过新冠肺炎危重症患者的专科护士进行了6次半结构化访谈。访谈分析得出了三个主题——转运前设计新流程、在新条件下及转运后工作与反思——共11个类别。新冠肺炎患者重症监护转运的目标有两个:通过使用个人防护装备防止感染传播,以及防止直升机受到污染。

结论

对护士而言,穿着个人防护装备工作会产生与患者有距离感,这损害了护患之间的亲密关系。我们的结果表明,确保重大事故和大流行事件所需设备的充足性至关重要。