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护士对影响造口护理因素的观点:定性内容分析。

Nurses' viewpoints on factors affecting ostomy care: A qualitative content analysis.

机构信息

Department of Nursing, Faculty of Rehabilitation, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.

Nursing and Midwifery Care Research Center, Adult Health Nursing Department, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Nurs Open. 2023 Aug;10(8):5261-5270. doi: 10.1002/nop2.1764. Epub 2023 Apr 21.

Abstract

AIMS

Ostomy plays an important role in management of medical conditions, especially postoperative status of colorectal and bladder cancers. Nurses who have the highest contact level with these patients, face many situations while providing care and need to acquire adequate knowledge and practice responding to patients' needs. The aim of this study was to explore the lived experiences of nurses in caring of abdominal ostomy patients.

DESIGN

A qualitative content analysis study.

METHODS

In this qualitative content analysis study, 17 participants were selected using purposeful sampling method and data were collected through in-depth and semi-structured interviews. Data analysis was done using conventional content analysis method.

RESULTS

Analysis of the findings led to the emergence of 78 sub-subcategories, 20 subcategories and seven main themes, including 'Inefficient educational system', 'Nurse Characteristics', 'Workplace challenges', 'Nature of ostomy care', ' Counseling and preparation of patients for surgery', 'Acquaintance with ostomy complications', and 'Proper planning of patient education'. Results showed that nurses in surgical wards provide non-special ostomy care due to lack of sufficient knowledge and skills and absence of up-to-date and local clinical guidelines which is vital to provide evidence-based scientific care and avoid unfounded and arbitrary care.

摘要

目的

造口术在医疗状况的管理中起着重要作用,特别是在结直肠癌和膀胱癌的术后阶段。护士与这些患者接触最为密切,在提供护理时会面临许多情况,需要获得足够的知识并实践满足患者的需求。本研究旨在探讨护士在照顾腹部造口患者方面的真实体验。

设计

定性内容分析研究。

方法

在这项定性内容分析研究中,采用目的性抽样法选取了 17 名参与者,并通过深入和半结构化访谈收集数据。使用常规内容分析方法进行数据分析。

结果

分析结果得出了 78 个子类别、20 个次类别和 7 个主要主题,包括“低效的教育系统”、“护士特征”、“工作场所挑战”、“造口护理的性质”、“手术前对患者的咨询和准备”、“了解造口并发症”和“患者教育的合理规划”。结果表明,由于缺乏足够的知识和技能,以及缺乏最新和本地的临床指南,外科病房的护士只能提供非专业的造口护理,这对于提供基于证据的科学护理和避免无根据和任意的护理至关重要。

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