ISSN 2097-6046(网络)
ISSN 2096-7446(印刷)
CN 10-1655/R
主管:中国科学技术协会
主办:中华护理学会

中华急危重症护理杂志 ›› 2025, Vol. 6 ›› Issue (6): 692-696.doi: 10.3761/j.issn.2096-7446.2025.06.009

• 急危重症智慧护理创新与实践 • 上一篇    下一篇

麻醉护士使用困难气道信息管理系统体验的质性研究

俞小玲(), 钱维明(), 余良梦, 金小娟, 陈丽钗   

  1. 310009 杭州市 浙江大学医学院附属第二医院护理部
  • 收稿日期:2024-12-30 出版日期:2025-06-10 发布日期:2025-06-06
  • 通讯作者: 钱维明,E-mail:2191039@zju.edu.cn
  • 作者简介:俞小玲:女,本科,副主任护师,护士长,E-mail:2191022@zju.edu.cn
  • 基金资助:
    浙江省卫生健康委医药卫生科技计划项目(2022KY799)

The experience of anesthesia nurses using the difficult airway information management system:a qualitative study

YU Xiaoling(), Qian Weiming(), YU Liangmeng, JIN Xiaojuan, CHEN Lichai   

  1. Nursing Department,The Second Affiliated Hospital Zhejiang University School of Medicine,Hangzhou,310009,China
  • Received:2024-12-30 Online:2025-06-10 Published:2025-06-06

摘要:

目的 探究麻醉护士使用困难气道信息管理系统的体验,为困难气道信息管理系统的优化和推广提供参考。 方法 采用质性研究中的现象学方法,基于技术接受模型的感知有用性和感知易用性角度构建访谈提纲,对浙江省某三级甲等医院16名麻醉护士进行半结构式访谈,采用Colaizzi七步分析法对访谈内容进行分析。 结果 麻醉护士困难气道信息管理系统的使用体验可归纳为3个主题、7个亚主题。感知有用性(识别及预警气道风险、优化护理工作流程);阻碍易用性(评估过程的主观性、风险分层提示缺失、生理性症状评估缺失);选择行为意向(积极接受、强化院外支持功能)。 结论 麻醉护士对困难气道信息管理系统使用持积极乐观态度,但需持续完善优化气道评估、风险分层提示、生理性症状的评估与预警等功能,并强化随访与健康宣教等支持以提高使用易用性。

关键词: 技术接受模型, 困难气道, 信息管理系统, 手术麻醉护士, 定性研究

Abstract:

Objective To explore the experience of anesthesia nurses using the difficult airway information management system(DAIMS) and to provide recommendations for its optimization and widespread implementation. Methods Phenomenological method in qualitative research was adopted,an interview outline was developed based on perceived usefulness and perceived ease of use from the Technology Acceptance Model(TAM). Semi-structured interviews were conducted with 16 anesthesia nurses at a tertiary class A hospital in Zhejiang Province. Colaizzi’s seven-step analysis method was used to analyze the interview data. Results The user experience of the DAIMS among anesthesia nurses can be categorized into 3 themes and 7 sub-themes:perceived usefulness(identification and early warning of airway risks,optimization of nursing workflows),barriers to usability(subjectivity in the assessment process,absence of risk stratification prompts,lack of physiological symptom assessment),and behavioral intentions (positive acceptance,enhancement of out-of-hospital support functions). Conclusion Anesthesia nurses hold a positive and optimistic attitude toward the DAIMS. However,continuous improvements are needed to optimize airway assessment functionality,risk stratification prompts,and the evaluation and early warning of physiological symptoms. Furthermore,strengthening follow-up and health education support functions would improve the system’s usability.

Key words: Technology Acceptance Model, Difficult Airway, Information Management System, Nurse Anesthetists, Qualitative Research