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中厚皮植皮患者心理需求的质性研究OA

Qualitative study on psychological needs of patients with medium-thick transplant

中文摘要英文摘要

目的 基于中厚皮植皮患者及家属的心理需求,构建以需求为导向的阶段性临床护理路径,为优化烧伤专科护理实践提供理论依据.方法 采用目的抽样法,选取 2023 年 10 月—12 月广西百色市某三甲医院烧伤科 10 例中厚皮植皮手术患者或家属进行半结构式访谈,运用Colaizzi现象学分析法提炼主题,直至信息饱和.结果 患者或家属需求聚焦于三大维度:沟通与信息支持(医患沟通透明化、并发症知识宣教);临床护理质量(伤口处理精细化、瘢痕管理个性化);流程与经济负担(住院时长缩短、费用透明化、出入院流程简化).结论 研究创新性提出"三阶段护理路径框架"(术前-术中-术后),通过整合阶段性康复目标、结构化沟通流程与经济援助机制,可系统性提升中厚皮植皮患者的治疗依从性与满意度,为烧伤专科护理路径标准化提供实践参考.

Objective To construct a demand-oriented phased clinical nursing pathway based on the psychological needs of patients with medium-thick transplant and their families,so as to provide theoretical basis for optimizing burn specialty nursing practice.Methods The purposive sampling method was used to select 10 patients or their families who underwent medium-thick skin grafting surgery in the burn department of a tertiary hospital from October to December 2023 for semi-structured interviews.Colaizzi phenomenological analysis was used to extract the themes until information saturation was reached.Results The needs of patients or their families focused on three dimensions:communication and information sup-port(transparency of doctor-patient communication,education on complications);clinical nursing quality(fine wound treat-ment,personalized scar management);process and economic burden(shortened hospitalization duration,transparent costs,simplified entry and exit procedures).Conclusion The study innovatively proposes a"three-stage nursing pathway frame-work"(preoperative stage-intraoperative stage-postoperative stage),which can systematically improve the treatment compliance and satisfaction of skin transplant patients by integrating stage rehabilitation goals,structured communication processes,and economic assistance mechanisms.This provides practical reference for standardizing burn specialty nursing pathways.

付龙龙;李秀秀;黎依技;韦燕芬;杨明瑞;陆柳芳;姚秀球;麻新灵

右江民族医学院护理学院,广西 百色 533000||山东省济宁市嘉祥县人民医院创面修复门诊,山东嘉祥 272400右江民族医学院护理学院,广西 百色 533000右江民族医学院护理学院,广西 百色 533000右江民族医学院护理学院,广西 百色 533000右江民族医学院护理学院,广西 百色 533000右江民族医学院护理学院,广西 百色 533000广西百色市人民医院烧伤整形美容外科,广西 百色 533000右江民族医学院护理学院,广西 百色 533000

医药卫生

植皮心理需求半结构式访谈质性研究

skin graftingpsychological needssemi-structured interviewqualitative research

《右江医学》 2026 (2)

166-171,6

广西哲学社会科学研究课题(23FRK003)

10.3969/j.issn.1003-1383.2026.02.009

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