ICU护士对急性皮肤衰竭认知体验的质性研究

doi:10.3761/j.issn.2096-7446.2024.03.002

摘要/Abstract

摘要： 目的探索ICU护士对急性皮肤衰竭的认知体验。方法采用目的抽样法,于2022年8月—12月在杭州市某三级甲等综合性医院ICU,对符合纳入标准的12名护士进行半结构式访谈,采用Colaizzi现象学研究方法,对访谈资料进行分析。结果共提炼出4个主题：感知到认识急性皮肤衰竭的益处、期望建立急性皮肤衰竭的护理管理规范、渴望拥有不同学科间的知识共享和意识到ICU家属关于急性皮肤衰竭的信息支持不足。结论护理管理者可通过重视临床护士对急性皮肤衰竭的认知管理、制订急性皮肤衰竭护理管理规范、构建围危重期家属关于急性皮肤衰竭的信息支持方案等策略,以促进危重症患者皮肤护理临床实践。同时,亦需积极探索皮肤器官视角下的多学科知识共享模式,促进皮肤护理的创新科学研究,实现危重症领域皮肤护理的高质量发展。

关键词: 重症监护病房, 急性皮肤衰竭, 压力性损伤, 质性研究

Abstract: Objective To explore ICU nurses' cognitive experience of acute skin failure. Methods Study participants were recruited through purposive sampling. Semi-structured interviews were conducted with 12 intensive care nurses who met the inclusion criteria in the comprehensive intensive care unit of a tertiary Grade A hospital in Hangzhou from August to December 2022. Colaizzi phenomenological research method was used to analyze the interview data. Results Four themes were extracted,including perceived benefits of recognizing acute skin failure,expectation of establishing norms for the management of acute skin failure care,desire to have knowledge sharing across disciplines,and awareness of inadequate information support for ICU families regarding acute skin failure. Conclusion Nursing managers can promote the clinical practice of skin care for critically ill patients by emphasizing the cognitive management of acute skin failure by clinical nurses,formulating operative nursing management protocols for acute skin failure,and constructing information support program for peri-critical patients' families regarding acute skin failure. It is also necessary to actively explore the multidisciplinary knowledge sharing model from the perspective of skin organ,promote innovative scientific research on skin care,and ultimately achieve high-quality development of skin care in the critical care field.

Key words: Intensive Care Units, Acute Skin Failure, Pressure Injury, Qualitative Study

陈香萍, 宫晓艳, 赵林芳, 劳月文, 张奕, 何雪花, 王凯丽, 丁茱萸, 庄一渝. ICU护士对急性皮肤衰竭认知体验的质性研究[J]. 中华急危重症护理杂志, 2024, 5(3): 205-210.

CHEN Xiangping, GONG Xiaoyan, ZHAO Linfang, LAO Yuewen, ZHANG Yi, HE Xuehua, WANG Kaili, DING Zhuyu, ZHUANG Yiyu. Qualitative research on ICU nurses' cognitive experience of acute skin failure[J]. Chinese Journal of Emergency and Critical Care Nursing, 2024, 5(3): 205-210.

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