护士对手术患者告知压疮风险的质性研究.PDFVIP

现代临床护理（Modern Clinical Nursing）2014.13（2） 47 护士对手术患者告知压疮风险的质性研究 张志慧，张积慧 （广州市第一人民医院手术室，广东广州，510180） ［摘要］　目的 　探讨告知手术患者压疮风险的真实体验，为有效防范压疮发生提供依据。方法　采用质性研究的深度 访谈法，对手术室 12 名高年资护士进行访谈，录音记录访谈内容，归纳分析，提炼主题。结果　告知手术患者压疮风险环节 中，主要存在6 个方面的问题，包括告知方式与内容参差不齐，无法确定压疮风险评估量表的结果，压疮评估与预防互补性差， 风险告知不明确，告知时机不合适，外围问题没有明确回答。结论　手术患者压疮风险评估知情同意的实施有赖于规范的谈 话内容，专科属性的评估量表，提高压疮预防能力的同时必须要有与评估相对应的预防措施。 ［关键词］　手术室；压疮；知情同意；质性研究 ［中图分类号］　R473.6　［文献标识码］　A　［文章编号］　1671-8283（2014）02-0047-03　［D O I］　10.3969/j.issn.1671-8283.2014.02.15 A qualitative study on informed consent about the risk assessment of pressure ulcers in surgical patients Zhang Zhihui，Zhang Jihui // Modern Clinical Nursing，-2014，13（2）：47. ［Abstract］　Objective　 To assess the informed consent about risks of pressure ulcers so as to effectively prevent pressure ulcers and reduce the disputes between the nurses and patients．Method　An in-depth interview was conducted among 12 senior nurses in the operating room，the interview content recorded and analyzed to summarize some themes．Results　In the link of informed consent on pressure ulcers，6 problems were found，e.g.，the standardization of methods for informed consent and the content，pressure ulcer risk assessment scale special for clinical specialties，lack of complementarity of assessment and prevention measures，importance of clear signature on the informed consent，time for informed consent signature，attitude of the families and the skills on answering related questions．Conclusions　The implementation of the informed consent about the risk assessment of the pressure ulcer for surgical patients depends on the specification of the conversation，and the assessment scale special for the clinical specialties．Both improved preventive measures and preventive ability of the pres