清醒体外膜肺氧合患者辅助治疗体验的质性研究

doi:10.3761/j.issn.2096-7446.2025.02.004

中华急危重症护理杂志 ›› 2025, Vol. 6 ›› Issue (2): 153-157.doi: 10.3761/j.issn.2096-7446.2025.02.004

清醒体外膜肺氧合患者辅助治疗体验的质性研究

夏桦(), 潘向滢, 金佳家, 陈臣侃, 赵雪红()

310003 杭州市浙江大学医学院附属第一医院护理部（夏桦，赵雪红），重症监护室（潘向滢，金佳家，陈臣侃）

收稿日期:2024-03-26 出版日期:2025-02-10 发布日期:2025-01-21
通讯作者: 赵雪红，E-mail：xhzhao625@126.com
作者简介:夏桦：女，硕士，主管护师，E-mail：565630610@qq.com
基金资助:
浙江省医药卫生科技计划项目(2022KY162)

The patient’s experience of extracorporeal membrane oxygenation treatment in awake state：a qualitative research

XIA Hua(), PAN Xiangying, JIN Jiajia, CHEN Chenkan, ZHAO Xuehong()

Department of Nursing，Maternity and Child Health Care Hospital，Sanya，572000，China

Received:2024-03-26 Online:2025-02-10 Published:2025-01-21

摘要/Abstract

摘要：

目的描述患者在清醒状态下接受体外膜肺氧合治疗的体验，为制订干预方案，提高患者的身心舒适度提供依据。方法采用描述性质性研究方法，采用目的抽样法，于2021年9月—2023年8月选取在浙江省某三级甲等医院接受清醒体外膜肺氧合治疗的13例患者进行半结构式深入访谈，通过内容分析法归纳和提炼主题。结果将在清醒状态下接受体外膜肺氧合治疗患者的体验提炼为3个主题：对清醒体外膜肺氧合辅助治疗持积极认知、治疗带来消极体验、自我正向引导。结论医护人员应关注在清醒状态下接受体外膜肺氧合治疗患者的相关体验，构建以患者为中心的干预方案，帮助患者积极应对相关问题，改善患者的治疗体验，促进患者早日康复。

关键词: 体外膜肺氧合, 治疗体验, 质性研究, 内容分析法, 重症护理

Abstract:

Objective To describe the experience of patients receiving extracorporeal membrane oxygenation （ECMO） in awake state，and provide basis for formulating intervention plan and improving the physical and mental comfort of patients. Methods The descriptive qualitative research method was adopted. By using purposive sampling，13 patients who received ECMO treatment in a tertiary class A hospital in Zhejiang Province from September 2021 to August 2023 were selected for semi-structured in-depth interviews，and the themes were summarized and refined through content analysis. Results The experience of receiving ECMO in the awake state was distilled into three themes：positive cognition of ECMO in the awake state，negative experience of treatment，and positive self-guidance. Conclusion The staff should pay attention to the experience of patients undergoing ECMO in awake state. To construct a patient-centered intervention program to help patients actively respond to related problems，improve the patient’s treatment experience，and promote the early recovery of patients.

Key words: Extracorporeal Membrane Oxygenation, Treatment Experience, Qualitative Research, Content Analysis, Intensive Care

夏桦, 潘向滢, 金佳家, 陈臣侃, 赵雪红. 清醒体外膜肺氧合患者辅助治疗体验的质性研究[J]. 中华急危重症护理杂志, 2025, 6(2): 153-157.

XIA Hua, PAN Xiangying, JIN Jiajia, CHEN Chenkan, ZHAO Xuehong. The patient’s experience of extracorporeal membrane oxygenation treatment in awake state：a qualitative research[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(2): 153-157.

图/表 1

参考文献 13

[1]	高冬, 黄霞, 贾培培, 等. 体外膜肺氧合专科护士核心能力特征要素的质性研究[J]. 中华护理杂志, 2021, 56(12):1783-1788. doi: 10.3761/j.issn.0254-1769.2021.12.004
	Gao D, Huang X, Jia PP, et al. A qualitative research on the characteristics of core competence of ECMO specialist nurses[J]. Chin J Nurs, 2021, 56(12):1783-1788. doi: 10.3761/j.issn.0254-1769.2021.12.004
[2]	Extracorporeal Life Support Organization. ECLS international summary of statistics[EB/OL]. (2023-10-17)[2023-11-14]. https://www.elso.org/registry/internationalsummaryandreports/internationalsummary.aspx.
[3]	Langer T, Santini A, Bottino N, et al. “Awake” extracorporeal membrane oxygenation(ECMO):pathophysiology,technical considerations,and clinical pioneering[J]. Crit Care, 2016, 20(1):150.
[4]	熊汝阳, 王洪亮, 郑俊波. 清醒体外膜肺氧合在重症患者中临床应用的利与弊[J]. 中国急救医学, 2023, 43(8):610-613.
	Xiong RY, Wang HL, Zheng JB. Advantages and disadvantages of clinical application of awake extracorporeal membrane oxygenation in severe patients[J]. Chin J Crit Care Med, 2023, 43(8):610-613.
[5]	刘熠. 早发性卵巢功能不全患者患病体验的质性研究[D]. 武汉: 武汉大学, 2020.
	Liu Y. The illness experience of women with premature ovarian insufficiency:a qualitative study[D]. Wuhan: Wuhan University, 2020.
[6]	褚君卿, 林燕, 高春华, 等. 成人体外膜肺氧合患者标准化院内转运工作指示单的设计及应用研究[J]. 中华急危重症护理杂志, 2023, 4(12):1061-1067.
	Chu JQ, Lin Y, Gao CH, et al. Design and application of intra-hospital transport work instruction sheet for patients supported by extracorporeal membrane oxygenation[J]. Chin J Emerg Crit Care Nurs, 2023, 4(12):1061-1067.
[7]	Savas H, Ozdemir Koken Z, Senol Celik S. Experiences of adult extracorporeal membrane oxygenation patients following discharge:a mixed methods study[J]. Heart Lung, 2020, 49(5):592-598.
[8]	严晓霞, 毛燕君, 施欢欢, 等. 应用体外膜肺氧合治疗待肺移植术患者的护理实践[J]. 中华现代护理杂志, 2019, 25(8):1019-1022.
	Yan XX, Mao YJ, Shi HH, et al. Nursing practice in patients with extracorporeal membrane oxygenation therapy waiting for lung transplantation[J]. Chin J Mod Nurs, 2019, 25(8):1019-1022.
[9]	Qian JW, Shen XL, Gao X, et al. Grip strength is a predictor for subsyndromal delirium among older adults following joint replacement[J]. Clin Interv Aging, 2023, 18:1675-1685. doi: 10.2147/CIA.S423727 pmid: 37810954
[10]	柯丹丹, 罗洁, 洪轶颖, 等. 膀胱全切术后行腹壁造口患者照顾者创伤后成长体验的质性研究[J]. 中华护理杂志, 2022, 57(3):294-300. doi: 10.3761/j.issn.0254-1769.2022.03.007
	Ke DD, Luo J, Hong YY, et al. A qualitative research on post-traumatic growth experience of family members in patients with abdominal wall stoma after radical cystectomy[J]. Chin J Nurs, 2022, 57(3):294-300. doi: 10.3761/j.issn.0254-1769.2022.03.007
[11]	门艳, 董璐, 何文亮. 青年急重症患者在急诊监护室住院体验的研究[J]. 中华护理教育, 2019, 16(3):225-228.
	Men Y, Dong L, He WL. Experience of young patients hospitalized in emergency intensive care unit[J]. Chin J Nurs Educ, 2019, 16(3):225-228.
[12]	张晨. 克罗恩病患者创伤后成长体验的扎根理论研究[D]. 杭州: 浙江中医药大学, 2021.
	Zhang C. A grounded theory study on posttraumatic growth of patients with Crohn’s disease[D]. Hangzhou: Zhejiang Chinese Medical University, 2021.
[13]	Roepke AM. Psychosocial interventions and posttraumatic growth:a meta-analysis[J]. J Consult Clin Psychol, 2015, 83(1):129-142. doi: 10.1037/a0036872 pmid: 24841865

[1]	王雪晴, 隋春雨, 周笑, 王毅欣. 短视频科普对公众心肺复苏施救意愿影响的质性研究[J]. 中华急危重症护理杂志, 2025, 6(2): 158-163.
[2]	周军, 李帅妮, 蒋伟红, 诸纪华. 先天性完全性气管环患儿行体外心肺复苏的急救护理[J]. 中华急危重症护理杂志, 2025, 6(2): 164-167.
[3]	陶倩, 高明榕, 白利平, 陈少珍, 成守珍. 医务人员对俯卧位机械通气患者气道管理质量评价的质性研究[J]. 中华急危重症护理杂志, 2025, 6(2): 214-218.
[4]	金静怡, 许钦雯, 刘红梅, 张燕, 季建红. 社会生态系统理论视角下ICU患者情感支持体验的质性研究[J]. 中华急危重症护理杂志, 2025, 6(1): 24-30.
[5]	劳月文, 陈香萍, 郭倩倩, 颜华妃, 丁珊妮, 王莉, 洪柳雨, 黄洁, 宫晓艳. ICU护士认可体验及需求的质性研究[J]. 中华急危重症护理杂志, 2025, 6(1): 31-36.
[6]	北京市体外生命支持质量控制和改进中心/首都医科大学附属北京安贞医院心脏外科危重症中心. 成人体外膜肺氧合循环辅助护理专家共识[J]. 中华急危重症护理杂志, 2025, 6(1): 70-75.
[7]	于冉马昕璇甘青文连泽荣孙晓萱凌华. 护士经历接近失误事件质性研究的Meta整合[J]. 中华急危重症护理杂志, 2024, 5(9): 806-811.
[8]	杨春清罗铎麟高萍陈好何春雷徐小群. ICU医护人员临床警报管理体验及需求的质性研究[J]. 中华急危重症护理杂志, 2024, 5(8): 689-694.
[9]	艾闪闪牛鹏丽王悦肖文俊徐国君. 体外膜肺氧合患者早期接受肠内营养安全性与有效性的系统评价[J]. 中华急危重症护理杂志, 2024, 5(8): 741-746.
[10]	张秋阳余韶芸潘向滢夏桦赵雪红. 成人体外膜肺氧合患者出院后健康相关生命质量的研究进展[J]. 中华急危重症护理杂志, 2024, 5(8): 764-768.
[11]	李凡李树亚华小雪蔡梦歆马俊孙朋霞. 护理实习生突发公共卫生事件应对能力培养路径的质性研究 [J]. 中华急危重症护理杂志, 2024, 5(7): 581-586.
[12]	杜金磊聂臣聪雷玲叶群赵洪祥张继权张得月彭古涛. 危重症患者肠内营养治疗后管饲依赖症状发生现况及影响因素研究[J]. 中华急危重症护理杂志, 2024, 5(6): 493-498.
[13]	杨露李斌曾艳周明周诗铭张华高淑红. “候鸟”老年人急诊异地就医真实体验的质性研究[J]. 中华急危重症护理杂志, 2024, 5(6): 525-529.
[14]	宣烨菁梁江淑渊曾妃. 高处坠落致截瘫患者术后急性肺栓塞体外膜肺氧合下取栓的护理[J]. 中华急危重症护理杂志, 2024, 5(6): 541-544.
[15]	岳雯静王子涵江莹林佳艺王琴潞王菲季诗明康晓凤. 重症专科护士实施床旁即时肺部超声影响因素的质性研究[J]. 中华急危重症护理杂志, 2024, 5(5): 389-394.

清醒体外膜肺氧合患者辅助治疗体验的质性研究

The patient’s experience of extracorporeal membrane oxygenation treatment in awake state：a qualitative research

RichHTML

PDF下载

可视化

摘要/Abstract

引用本文

使用本文

图/表 1

参考文献 13

相关文章 15

编辑推荐

Metrics

本文评价