Sayadi Leila, Karami Fatemeh, Rozveh Ali Karimi, Karamad Sara Pakzad
Associate Professor, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
PhD in Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Iran J Nurs Midwifery Res. 2024 Sep 4;29(5):623-630. doi: 10.4103/ijnmr.ijnmr_207_23. eCollection 2024 Sep-Oct.
The care process involves essential tasks of assisting, supporting, and facilitating nursing activities to meet the comprehensive needs of patients. Coronavirus disease 2019 (COVID-19) is a global infectious disease that has caused a pandemic. Nurses play a crucial role in caring for and treating patients with COVID-19. This study aims to explain the care process in patients with COVID-19.
A qualitative study using the grounded theory method was conducted from 2021 to 2022. Eleven nurses providing care to hospitalized patients with COVID-19 were purposively selected from the COVID wards of Shariati Hospital in Tehran, Iran. Data were collected through in-depth semistructured interviews and observation. Data analysis was conducted using the approach developed by Corbin and Strauss (2008).
The data analysis phase identified a main theme of "protection and support in the shadow of uncertainty" along with five main categories and ten subcategories. The main categories included "encountering life-threatening crisis", "maintaining safety", "improving the patient's physical health", "encouraging", and "feeling satisfied despite the burden of care".
Nurses aimed to improve the physical and psychological conditions of patients with COVID-19 by implementing a comprehensive care plan. The five main categories identified can be considered the primary approach to nursing care in the COVID-19 crisis. Additionally, the nurses' experiences can help establish the necessary infrastructure for care and education during other potential health crises.
护理过程涉及协助、支持和促进护理活动的基本任务，以满足患者的全面需求。2019冠状病毒病（COVID-19）是一种已引发全球大流行的传染病。护士在照顾和治疗COVID-19患者方面发挥着关键作用。本研究旨在阐释COVID-19患者的护理过程。
2021年至2022年采用扎根理论方法进行了一项定性研究。从伊朗德黑兰沙里亚蒂医院的COVID病房中，有目的地挑选了11名照顾住院COVID-19患者的护士。通过深入的半结构化访谈和观察收集数据。数据分析采用Corbin和Strauss（2008年）开发的方法。
数据分析阶段确定了一个主要主题“在不确定性阴影下的保护与支持”以及五个主要类别和十个子类别。主要类别包括“遭遇危及生命的危机”“维护安全”“改善患者身体健康”“给予鼓励”以及“尽管护理负担沉重仍感到满足”。
护士旨在通过实施全面护理计划来改善COVID-19患者的身体和心理状况。所确定的五个主要类别可被视为COVID-19危机中护理的主要方法。此外，护士的经验有助于在其他潜在健康危机期间建立必要的护理和教育基础设施。
