全膝关节和髋关节置换术患者预防静脉血栓栓塞的护理及障碍：一项定性研究
Nursing Care and Barriers for Prevention of Venous Thromboembolism in Total Knee and Hip Arthroplasty Patients: A Qualitative Study.
作者信息
Al-Mugheed Khalid, Totur Dikmen Burcu, Bayraktar Nurhan, Farghaly Abdelaliem Sally Mohammed, Ahmed Alsenany Samira
机构信息
Adult Health Nursing Department, College of Nursing, Riyadh Elm University, Riyadh, 12734, Saudi Arabia.
Surgical Nursing Department, Faculty of Nursing, Near East University, Nicosia, Cyprus.
出版信息
J Multidiscip Healthc. 2023 Feb 28;16:547-556. doi: 10.2147/JMDH.S403383. eCollection 2023.
PURPOSE
To determine barriers to preventing venous thromboembolism in total knee and hip arthroplasty patients by surgical nurses.
METHODS
This qualitative study used a phenomenological approach. The semi-structured interview questionnaire included two questions focused on nursing care practices for VTE prevention and barriers faced during VTE prophylaxis in total knee and hip arthroplasty patients. Study data were collected from 10 surgical nurses through semi-structured interviews in July 2021.
RESULTS
After analyzing the data, two main themes, five categories, and fourteen subcategories were developed. The main themes included "Nursing care" and "Barriers." Two categories were reflected in terms of nursing care: general care and mechanical prophylaxis. Regarding barriers, the analysis of the interview reflected three main categories: "lack of professional competence", "work conditions challenges", and "resistance from patients".
CONCLUSION
Educational institutions must play a critical role in preparing surgical nurses by establishing clinical nurse specialist programs and post-graduate diplomas programs that sufficiently prepare nurses for clinical settings.
目的
确定手术护士在全膝关节和髋关节置换术患者中预防静脉血栓栓塞的障碍。
方法
本定性研究采用现象学方法。半结构化访谈问卷包括两个问题，重点关注全膝关节和髋关节置换术患者预防静脉血栓栓塞的护理实践以及预防过程中面临的障碍。2021年7月，通过半结构化访谈从10名手术护士处收集研究数据。
结果
分析数据后，形成了两个主要主题、五个类别和十四个子类别。主要主题包括“护理”和“障碍”。护理方面反映出两个类别：一般护理和机械预防。关于障碍，访谈分析反映出三个主要类别：“专业能力不足”、“工作条件挑战”和“患者抵触”。
结论
教育机构必须通过建立临床护士专家项目和研究生文凭项目，在培养手术护士方面发挥关键作用，这些项目要让护士充分为临床环境做好准备。
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