国际口腔医学杂志 ›› 2018, Vol. 45 ›› Issue (1): 20-25.doi: 10.7518/gjkq.2018.01.004

• 论著 • 上一篇    下一篇

接受计算机导航技术颌面部手术治疗患者的心理研究

端莉梅, 景建龙   

  1. 南京大学医学院附属口腔医院护理部 南京 210008
  • 收稿日期:2017-05-02 修回日期:2017-09-28 出版日期:2018-01-01 发布日期:2018-01-01
  • 通讯作者: 景建龙,副主任技师,学士,Email:1585181166@163.com
  • 作者简介:端莉梅,副主任护师,学士,Email:847266767@qq.com

Psychological study of patients undergoing maxillofacial surgery combined with computer-assisted navigation technology

Duan Limei, Jing Jianlong   

  1. Dept. of Nursing, Affiliated Stomatological Hospital, Medical School of Nanjing University, Nanjing 210008, China
  • Received:2017-05-02 Revised:2017-09-28 Online:2018-01-01 Published:2018-01-01

摘要:

目的 研究患者在接受计算机导航辅助治疗前后的心理状态及护理需要,为护理质量的提高提供参考。方法 本研究采用质性研究的方法,选择2015年10月—2016年7月就诊的30例需应用计算机导航技术行手术治疗的患者为研究对象,采用Colaizzi内容分析法,揭示接受手术导航辅助治疗的患者的真实体验。结果 根据访谈内容总结出以下5个主题:1)术前对疾病预后和接受手术存在焦虑;2)对计算机辅助导航的使用充满信心,但相关知识储备不足;3)对医院的服务和医生的技术满意;4)对护士提供的护理感到满意;5)对手术结果及术后恢情况表示满意。结论 在充分了解手术导航的相关信息后,患者普遍表示出对手术导航这一新技术的信心,提示充分的术前沟通对此类患者心理关怀的重要性。在精细护理的基础上,做好术前术后的沟通,关注患者个性化心理体验,能达到更佳的治疗效果。

关键词: 计算机导航技术, 颌面部手术, 质性研究, 心理体验

Abstract:

Objective To study the psychological experience of patients undergoing computer-assisted navigated maxillofacial surgery. Methods Thirty patients who had computer-assisted navigated maxillofacial surgery from October, 2015 to July, 2016 were included into this study. Information from patients were achieved through in-depth interview, and analyzed with Colaizzi method in a qualitative way. Results Based on the interview, 5 themes were identified from the patients studied: 1) anxiety towards the illness and operation; 2) confidence in computer-navigated surgery, but lack in relative knowledge; 3) satisfaction with the treatment provided by the hospital and doctors; 4) satisfaction with the care from the nurses; 5) satisfaction with the surgical outcome. ConclusionWith improved knowledge of surgical navigation, patients showed confidence in this new technology. This suggested detailed introduction was beneficial for these patients. Combined with careful nursing, communication and mental care, successful nursing targets could be achieved.

Key words: computer-assisted navigation, maxillofacial surgery, qualitative research, psychological experience

中图分类号: 

  • R782.05+3
[1]Flügge TV, Nelson K, Schmelzeisen R, et al. Three-dimensional plotting and printing of an implant drilling guide: simplifying guided implant surgery[J]. J Oral Maxillofac Surg, 2013, 71(8):1340-1346.
[2]Bagaria V, Deshpande S, Rasalkar DD, et al. Use of rapid prototyping and three-dimensional reconstruc-tion modeling in the management of complex frac-tures[J]. Eur J Radiol, 2011, 80(3):814-820.
[3]Schramm A, Suarez-Cunqueiro MM, Rücker M, et al. Computer-assisted therapy in orbital and mid-facial reconstructions[J]. Int J Med Robot, 2009, 5 (2):111-124.
[4]徐竹梅, 袁卫军. 计算机辅助导航技术治疗颌面部陈旧性骨折的护理[J]. 解放军护理杂志, 2014, 31 (23):42-43. Xu ZM, Yuan WJ. Nursing of computer-assisted navigation technology in the treatment of maxillo-facial old fractures[J]. Nurs J Chin PLA, 2014, 31 (23):42-43.
[5]Wang Y, Sun G, Lu M, et al. Surgical management of maxillofacial fibrous dysplasia under navigational guidance[J]. Br J Oral Maxillofac Surg, 2015, 53(4): 336-341.
[6]Sun G, Lu M, Hu Q. The application of surgical navigation in the treatment of temporomandibular joint ankylosis[J]. J Craniofac Surg, 2015, 26(8):e776-e780.
[7]陈向明. 质的研究方法与社会科学研究[M]. 北京: 教育科学出版社, 2000:96. Chen XM. Qualitative research in social sciences[M]. Beijing: Educational Science Press, 2000:96.
[8]Shosha GA. Employment of Colaizzi’s strategy in descriptive phenomenology: A reflection of a resear-cher[J]. Eur Sci J, 2012, 8(27):31-43.
[9]刘登冉. 定量研究与质性研究的比较[J]. 当代教育论坛, 2011(9):32-33. Liu DR. Comparison between quantitative research and qualitative research[J]. Forum Contemp Edu, 2011(9):32-33.
[10]Greensky C, Stapleton MA, Walsh K, et al. A quali-tative study of traditional healing practices among American Indians with chronic pain[J]. Pain Med, 2014, 15(10):1795-1802.
[11]Strang P. Qualitative research Methods in palliative medicine and palliative oncology—an introduction [J]. Acta Oncol, 2000, 39(8):911-917.
[12]Sim J. Collecting and analysing qualitative data: issues raised by the focus group[J]. J Adv Nurs, 1998, 28 (2):345-352.
[13]Vickers KS, Hathaway JC, Patten CA, et al. Cancer patients’ and patient advocates’ perspectives on a novel information source: a qualitative study of the art of oncology, when the tumor is not the target[J]. J Clin Oncol, 2005, 23(18):4013-4020.
[14]Israel BA, Schulz AJ, Parker EA, et al. Review of community-based research: assessing partnership approaches to improve public health[J]. Annual Rev Pub Health, 1998, 19(1):173-202.
[15]刘喜梅, 魏新. 全机器人心脏手术患者心理体验的质性研究[J]. 解放军护理杂志, 2008, 25(3):7-9, 44 Liu XM, Wei X. Qualitative study of the psycholo-gical experience of patients undergoing total robotic cardiac surgery[J]. Nurs J Chin PLA, 2008, 25(3):7- 9, 44.
[16]王富伟. 质性研究的推论策略: 概括与推广[J]. 北京大学教育评论, 2015, 13(1):40-55, 189. Wang FW. Inferential strategies for qualitative re-search: generalization and extension[J]. Peking Univ Edu Rev, 2015, 13(1):40-55, 189.
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