阜阳市新型冠状病毒肺炎疫情首批一线护士工作体验的质性研究

    A qualitative study on the work experience of the first-line nurses during the COVID-19 outbreak in Fuyang city

    • 摘要:
      目的 了解阜阳市传染病医院作为抗击突发重大突发公共卫生事件新型冠状病毒肺炎疫情的首批一线护士工作体验,为日后突发其他重大传染病疫情提供战略支持。
      方法 从不同层次护士中采用目的抽样法抽取2020年1月20日至2月4日在疫情一线工作的15名护士进行半结构式访谈,对访谈资料运用Colaizzi七阶段分析法进行提炼分析。
      结果 总结出三个层面的主题,一为一线护理人员的正性、负性两种心理体验:包括职业自豪感、社会责任感和个人归属感;焦虑与恐惧、面对病人痛苦时的无能为力感。二为一线护理工作人员的负性生理体验:躯体极度疲惫感。三为一线工作人员生活方面的顾虑:担心被歧视,影响下班后的生活;担心家人的生活安排。
      结论 要重视重大疫情下一线护理人员的负性心理体验,强化正性心理体验,合理安排休息和生活,对有困难的护士进行个性化指导和支持。

       

      Abstract:
      Objective To investigate the work experience of the first-line nurses fighting against major public health emergency corona virus disease 2019 outbreak in infectious disease hospital of Fuyang city, and provide the strategic support for other major infectious disease outbreak in the future.
      Methods Fifteen nurses working on the first-line during disease outbreak from January 20 to February 4, 2020 were selected by objective sampling method from different levels of nurses, interviewed using semi-structured way, and the interview data were extracted and analyzed using Colaizzi seven-stage analysis method.
      Results Three levels of themes were summarized.One is the positive and negative psychological experience of first-line nursing staffs, which included the professional pride, social responsibility, personal sense of belonging, and the anxiety and fear, a sense of powerlessness in the face of patient pain.The second was the negative physiological experience of the first-line nursing staffs, namely the extreme body fatigue feeling.The third was the life concerns of the first-line staffs, which included the worry of being discriminated affecting their life after work, and living arrangements of family.
      Conclusions It is necessary to pay attention to the negative psychological experience of first-line nursing staffs under major epidemic conditions, strengthen the positive psychological experience, reasonably arrange rest and life, and provide personalized guidance and support for the troubled nurses.

       

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