重度烧伤康复期患者尊严受损体验的质性研究

doi:10.3761/j.issn.0254-1769.2024.20.010

摘要/Abstract

摘要：

目的深入了解重度烧伤康复期患者尊严受损的真实体验，为临床医护人员制订针对性的尊严干预方案提供参考。方法采用目的抽样法，选取2023年12月—2024年1月广州市某三级甲等医院烧伤与整形康复科收治的16例重度烧伤康复期患者作为研究对象，进行面对面的半结构化深度访谈，使用Colaizzi 7步分析法分析、归纳和提炼主题。结果共提炼了3个主题和8个亚主题，即身体尊严受损（身体残缺、外观改变、自主活动受限）、心理尊严矛盾（消极情绪困扰、积极调整适应）、渴望社会尊严（希望家人理解、渴求社会支持、祈盼恢复生活常态）。结论临床医护人员应重视重度烧伤康复期患者的尊严受损体验，构建以患者尊严为中心的干预方案，以促进其有尊严、高质量地恢复生活常态。

关键词: 烧伤, 康复, 尊严, 质性研究, 护理

Abstract:

Objective To gain an in-depth understanding of the authentic experiences of impaired dignity among patients in the recovery phase of severe burns，thereby informing the development of targeted dignity intervention plans by clinical medical staff. Methods By purposive sampling，the study included 16 patients in the recovery phase of severe burns，admitted to the Burn and Plastic Surgery Rehabilitation Department of a tertiary hospital in Guangzhou between December 2023 and January 2024. Face-to-face，semi-structured in-depth interviews were conducted，and the themes were analyzed，summarized，and distilled by the Colaizzi 7-step analysis method. Results 3 themes were identified，including impairment of physical dignity（physical disfigurement，change in appearance，and limitations in autonomous activities），psychological dignity conflicts（negative emotional disturbances and positive adjustment for adaptation） and the aspiration for social dignity（desire for family understanding，social support，and the hope to return to a normal life）. Conclusion Clinical nurses should value the dignity experience of patients in the recovery phase of severe burns and establish patient-dignity-centered intervention plans to facilitate their dignified and high-quality recovery to a normal life.

Key words: Burns, Rehabilitation, Dignity, Qualitative Research, Nursing Care

邓云云, 谭惠仪, 郭帅杰, 李婷. 重度烧伤康复期患者尊严受损体验的质性研究[J]. 中华护理杂志, 2024, 59(20): 2502-2508.

DENG Yunyun, TAN Huiyi, GUO Shuaijie, LI Ting. A qualitative study of patients’ experiences of impaired dignity during recovery from severe burns[J]. Chinese Journal of Nursing, 2024, 59(20): 2502-2508.

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