İşeri Özge, Keskin Serap Güleç
Özge İşeri, PhD, Faculty of Health Sciences, Surgical Nursing Department, Ondokuz Mayıs University, Samsun, Turkey.
Serap Güleç Keskin, PhD, Faculty of Health Sciences, Department of Psychiatric Nursing, Ondokuz Mayıs University, Samsun, Turkey.
Orthop Nurs. 2025;44(4):240-247. doi: 10.1097/NOR.0000000000001139. Epub 2025 Jul 18.
In 2023, two major earthquakes with magnitudes of 7.7 and 7.6 struck Turkey, resulting in significant loss of life, extensive property damage, and numerous amputations. While existing literature explores the experiences of nurses caring for amputees, there is a notable gap in research specifically addressing the experiences and needs of nurses caring for individuals amputated following an earthquake.
This study aims to qualitatively examine the experiences of nurses providing care to individuals amputated as a result of the earthquake.
A qualitative descriptive research design was employed, utilizing traditional content analysis. Snowball sampling was used. Data saturation was achieved after interviews with ten participants. In-depth interviews were conducted between April and June 2023. Ethical approval was obtained (Social and Human Sciences Ethics Committee of Ondokuz Mayıs University, dated 29.03.2023; number 2023-132). The COREQ checklist was used for reporting.
The experiences of nurses caring were categorized into three themes: "Psychological and Cognitive Strain," "Expanding Care," and "Needs in Disaster Management." The "Psychological and Cognitive Strain" theme encompassed meaning units such as fear of causing harm, sadness, suffering, feelings of inadequacy, helplessness, emotional turmoil, and avoidance behavior. The "Expanding Care" theme included elements of altruism, sympathy, and compassion.
The "Needs in Disaster Management" theme highlighted both individual and organizational challenges. Despite their efforts to expand care in response to unexpected and rapidly evolving situations, including amputations, nurses encountered significant individual and organizational challenges and inadequacies, making it difficult to cope with the constantly changing health conditions. Therefore, it is recommended that nurses receive empowerment training focused on disaster management and the specialized care of amputees.
2023年，土耳其发生了两次震级分别为7.7级和7.6级的大地震，造成了重大人员伤亡、广泛的财产损失以及大量截肢案例。虽然现有文献探讨了护士照顾截肢者的经历，但在专门针对照顾地震后截肢者的护士的经历和需求的研究方面存在显著差距。
本研究旨在定性考察护士为地震导致截肢的患者提供护理的经历。
采用定性描述性研究设计，运用传统内容分析法。使用滚雪球抽样法。在对10名参与者进行访谈后实现了数据饱和。于2023年4月至6月进行了深入访谈。获得了伦理批准（于2023年3月29日获得了于斯屈达尔梅尔大学社会与人文科学伦理委员会的批准；编号2023 - 132）。使用COREQ清单进行报告。
护士的护理经历分为三个主题：“心理和认知压力”、“扩大护理范围”以及“灾害管理中的需求”。“心理和认知压力”主题包含了诸如害怕造成伤害、悲伤、痛苦、能力不足感、无助感、情绪混乱以及回避行为等意义单元。“扩大护理范围 ”主题包括利他主义、同情和怜悯等要素。
“灾害管理中的需求”主题突出了个人和组织方面的挑战。尽管护士们努力扩大护理范围以应对意外且迅速变化的情况，包括截肢情况，但他们遇到了重大的个人和组织挑战以及不足之处，难以应对不断变化的健康状况。因此，建议护士接受侧重于灾害管理和截肢者专科护理的赋权培训。
