早期肺癌预住院患者就医体验的质性研究

• 作 者: 高国贞 周末
• 机 构: 广州医科大学附属第一医院护理部，广州 510120
• 出 处: 中国实用护理杂志
• 发表日期: 2022年2期
• 关键词: Qualitative research Lung neoplasms Pre-hospitalization Medical experience

目的:了解早期肺癌预住院患者就医体验，发现服务过程存在的问题与不足，为预住院模式下医疗服务质量的提高提供依据。方法:采用现象学研究方法，以目的抽样法选取2020年9-10月广州医科大学附属第一医院收治的21例早期肺癌预住院患者，进行半结构式访谈，并运用Colaizzi 7步分析法对研究资料进行分析。结果:早期肺癌预住院患者就医体验呈现4个主题：床位周转变快，住院时间和费用减少；预住院纳入标准缺乏人性化；入院与检查流程待优化；预住院期间医患沟通不足。结论:预住院模式的实施可使早期肺癌患者的就医更加便捷高效，并能降低住院费用，但早期肺癌预住院患者在预住院期间管理尚存在不足，应进一步规范预住院流程，加强预住院患者院外检查等待时期的沟通与管理。“,”Objective:To understand the medical experience of patients with early lung cancer in pre-hospitalization, find out the problems and shortcomings in the service process, and provide the basis for improving the quality of medical service under the pre-hospitalization mode.Methods:Through phenomenological research method, 21 pre-hospitalized patients with early lung cancer from September to October 2020 in the First Hospital Affiliated to Guangzhou Medical University were selected by purpose sampling method for semi-structured interviews, and the research data were analyzed by Colaizzi seven-step method.Results:There were four themes in the medical experience of early lung cancer pre-hospitalized patients: the turnover rate of beds was fast, the length of stay and cost of stay were reduced, the inclusion criteria of pre-hospitalization lacked the humanization, admission and examination procedures needed to be optimized and insufficient doctor-patient communication during pre-hospitalization.Conclusions:The implementation of pre-hospitalization mode can make patients′ medical treatment more convenient and efficient, and reduce hospitalization expenses. However, there are still some shortcomings in the management of pre-hospitalization of early lung cancer patients. The pre-hospitalization process should be further standardized, and the communication and management of pre-hospitalization patients during waiting period for out-of-hospital examination should be strengthened.