计划行为理论视角下腹部手术术后疼痛管理护士行为意向的质性研究

doi:10.3760/cma.j.cn115682-20231010-01440

科研成果详情

题名	计划行为理论视角下腹部手术术后疼痛管理护士行为意向的质性研究
其他题名	Qualitative research on behavioral intention of nurses for pain management after abdominal surgery from the perspective of planned behavior theory
作者	陈晓萱1; 尉碧瑶2; 吴晓楠2; 夏丽敏1
发表日期	2024-06-26
发表期刊	中华现代护理杂志影响因子和分区
语种	中文
原始文献类型	Periodical
关键词	疼痛管理腹部手术质性研究计划行为理论
其他关键词	Pain management ; Abdominal surgery ; Qualitative research ; Planned behavior theory
摘要	目的:基于计划行为理论探讨腹部手术术后疼痛管理中护士的行为意向。方法:根据计划行为理论框架制定访谈提纲，采用目的抽样法，选取2022年7—11月温州医科大学附属第一医院的11名普通外科护士为访谈对象，进行半结构化访谈，了解其对腹部手术术后疼痛管理的行为意向。采用Colaizzi 7步分析法分析原始资料。2名研究者对访谈资料进行反复对比、核实、分析、归纳，产生不同意见时由小组成员共同讨论决定，最终确定编码及主题。结果:基于计划行为理论框架中行为态度、主观规范、知觉行为控制的3个维度，共提炼出3个主题，以及7个亚主题：行为态度（积极态度、消极态度）、压力来源（群体压力、领导压力、患者及家属压力）、主观感知与行为（舒适圈的禁锢、外部资源支持不足）。结论:多数护士对腹部手术术后疼痛管理行为持积极态度，术后疼痛管理行为意向受到同事、领导、患方及家属的影响，同时还存在个人能力不足、外部资源支持不到位的阻碍因素。
其他摘要	Objective:To explore the behavioral intention of nurses for pain management after abdominal surgery based on the planned behavior theory.Methods:According to the framework of planned behavior theory, an interview outline was developed. Using the purposive sampling method, a total of 11 General Surgical Department nurses from the First Affiliated Hospital of Wenzhou Medical University from July to November 2022 were selected as the interview subjects for semi-structured interviews to understand their behavioral intentions regarding postoperative pain management in abdominal surgery. Colaizzi 7-step analysis was used to analyze the original data. Two researchers repeatedly compared, verified, analyzed and summarized the interview data. When different opinions were generated, the group members discussed and decided together to ultimately determine the code and theme.Results:Based on the three dimensions of behavioral attitude, subjective norms and perceived behavioral control in the theoretical framework of planned behavior, three themes and seven sub-themes were extracted, such as behavioral attitude (positive attitude, negative attitude), pressure sources (group pressure, leadership pressure, patient and family pressure), subjective perception and behavior (imprisonment of comfort zone, insufficient support from external resources) .Conclusions:Most nurses hold a positive attitude towards pain management behavior after abdominal surgery, and the behavioral intention of postoperative pain management is affected by colleagues, leaders, patients and their families. At the same time, there are also obstacles such as insufficient personal ability and insufficient support from external resources.
资助项目	浙江省大学生科技创新活动计划(新苗人才计划)(2023R413078);2024年温州市科技局项目(2024Y0258)。
ISSN	1674-2907
卷号	30 期号:18 页码:2397-2402
DOI	10.3760/cma.j.cn115682-20231010-01440
页数	6
收录类别	万方 ; 维普 ; ISTIC
URL	查看原文
引用统计
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/215475
专题	附属第一医院第一临床医学院（信息与工程学院）、附属第一医院附属第一医院_护理部
作者单位	1.温州医科大学附属第一医院护理部，温州　325000; 2.温州医科大学第一临床医学院(信息与工程学院)，温州　325000
第一作者单位	附属第一医院; 护理部
第一作者的第一单位	附属第一医院
推荐引用方式 GB/T 7714	陈晓萱,尉碧瑶,吴晓楠,等. 计划行为理论视角下腹部手术术后疼痛管理护士行为意向的质性研究[J]. 中华现代护理杂志,2024,30(18):2397-2402.
APA	陈晓萱, 尉碧瑶, 吴晓楠, & 夏丽敏. (2024). 计划行为理论视角下腹部手术术后疼痛管理护士行为意向的质性研究. 中华现代护理杂志, 30(18), 2397-2402.
MLA	陈晓萱,et al."计划行为理论视角下腹部手术术后疼痛管理护士行为意向的质性研究".中华现代护理杂志 30.18(2024):2397-2402.