以焦點團體探討照顧疑似SARS病嬰護理人員的經驗與因應行為

Nursing Experiences and Coping Behaviors of Caring for a Child with Suspected SARS A Focus Group Approach

本研究主要目的在探討照顧疑似SARS病嬰護理人員的經驗及因應行為，本研究採立意取樣，以中部某醫學中心小兒加護病房8位護理人員照顧疑似SARS病嬰為研究對象。採焦點團體研究法，透過團體會談及參與式觀察進行資料收集，再以內容分析法分析會談之資料，並形成主題，其研究結果顯示護理人員照顧疑似SARS病嬰的經驗感受共分為（一）恐懼遭受傳染；（二）照護經驗的缺乏；（三）穿戴厚重的防護設備；（四）媒體宣染的恐慌；（五）傳染源的污名化；（六）背負專業的責任。而因應行為包括：（一）保持互動距離；（二）制定照護的流程；（三）抑制生理需求；（四）阻隔具壓力的訊息與人物；（五）隱瞞家人與自我隔離；（六）認命。期望此篇報告能對照顧曾疑似SARS病嬰之護理人員的經驗及因應行為有初步認識，以提昇未來醫護人員照顧此類病患的能力。

A focus group study of 8 nurses was conducted at a Medical Center in Middle Taiwan to explore the experiences and coping behaviors of caring for a child with suspected SARS. The contents of discussion were tape recorded and transcribed. The analysis revealed six themes of experience: (1) frightened of being infected; (2) lacking in specialized SARS caring experience; (3) wearing heavy protective clothing; (4) proclaiming the panic which was induced by the media; (5) being stigmatized as a source of infection; (6) shouldering the professional responsibility. Six themes of coping behaviors were: (1) to maintain distance from the patients; (2) to set a standard care flow; (3) to suppress physiology demand; (4) to isolate themselves from stressful information and people; (5) to conceal from their family their working with SARS patients; (6) to accept fate. The results provided nurses with experiences and coping behaviors of caring for a suspected SARS patient and enhanced their abilities of caring for similar patients in the future.