住院患者对护患互动中心理赋能的理解和感受.pdf

·3· 住院患者对护患互动中心理赋能的理解和感受 刘昕彦 马丽莉 李健杨芳宇 摘要目的：探讨住院患者对护患互动过程中心理赋能的理解和感受。分析影响患者心理赋能的因素。方法：以格拉泽传统扎根理论为指导 原则，运用目的抽样与理论抽样，筛选我院13例住院患者进行半结构式深度访谈，进行现场录音，并转录成WORD文档，共7．3万字。结果：围 绕研究问题提炼出两个核心主题：(1)护士和患者沟通时运用恰当技巧，患者获得与其疾病和健康有关知识、患者对护士的信任感、护士对患者 的尊重和鼓励对患者心理赋能起增效作用。(2)患者对护士的不信任感，护患缺乏沟通，护士缺乏有效沟通技巧对患者心理赋能起减效作用。 结论：在护患互动过程中，护患间沟通是否有效，技巧是否恰当和患者对护士的信任感是患者心理赋能的重要影响因素。 关键词护患互动；心理赋能；质性研究；扎根理论doi：10．3969／j．ism．1672-9676．加13．15．002 A of On in qualitativestudy psyd,dogiadempowermentthe叫咖一肌嘴encounter in—p蚰伽临’perspective LIU Medical Xln—yah，MALi一壮，YANGFang—yu(NnursingCollegeCapital University，Beijing100069) LI Affdiated Medical Jian(XuanwuHospital tocapiud University，Beijing100053) Abstract in and of inthe discuss experiencespsychologicalempowermentpatient—nulBeinteraction，and Objective：Toexplorepatients’undemanding related forthis withtheoretical factors．Methods：A hospitalizedpa- groundedtheory脚adoptedstudy。usedpurposefulsamplingincorporated sampling，13 tientsinXuanwu in semi—structuredinterviews．Alltheinterviewswererecontedon then wereconducted recorders，and hospitalBeijing in—depth digital mmseribedintoworddocumentswhichamountedto73thousand data 2themes were words．Results：Followingan,amd emerged．Firstly，patientsempow- ered included skills llurse8in andhealth—relatedinformationac· successfully，whichappropriateappliedby nul_g—patiente