照顧新型冠狀病毒性感染病人護理師之心路歷程

Psychological process of caring for patients with coronavirus infections by nurses

目標：新冠肺炎的爆發，於全球各地帶來了衝擊，世界各地進行大規模的防疫措施，造成醫護人員大規模的離職，產生人力的不足、職業生涯的變化、造成了莫大的壓力及因應等問題。確診率上升及醫療資源耗盡，促使研究人員對護理師照護此類病人的經驗進行訪談及分析，期望此經驗能協助日後之醫療人員的壓力及不確定感得到因應及調適。方法：本研究為質性研究深度訪談十位照護新冠肺炎病人的護理師，採內容分析法，透過與研究對象的互動及行為、語言及非語言之意義，以探討護理師照護此類病人之經驗。結果：根據受訪者之心路歷程，歸納出四個主題「過去累積的經驗，只為了蓄勢待發，對抗疾病的下一刻」、「同儕的鼓勵和支持，困苦中仍然堅守崗位，永不放棄」、「面對醫療資源缺乏，環境的艱難，仍堅持到底」、「川流不息的確診人數，陪伴病人的橫亙旅程」。結論：藉由護理師之經驗及心路歷程，提供給臨床護理師照護此類病人之經驗做為參考，同時提供相關主管單位瞭解現況以輔導協助。

Objectives: The outbreak of the novel coronavirus pneumonia has caused economic turmoil and social unrest worldwide. Large-scale epidemic prevention measures have been implemented globally, and in-house isolation and quarantine strategies have resulted in the large-scale resignation of medical staff, thereby leading to a shortage of human resources. The change of career has caused great pressure and coping problems with the pandemic. With the increase in the diagnosis rate and the exhaustion of medical resources, researchers are encouraged to analyze the burden and experience of nursing staff caring for infected patients. We hope that this report will help in responding and adapting to the pressure and uncertainty faced by medical staff in the future. Methods: In this research, qualitative in-depth interviews were conducted. We collected the experiences of 10 nurses caring for patients infected with the coronavirus; analyzed the interview responses; and evaluated the nurses' behavior, language, and nonverbal cues through interaction with them. Results: Based on a literature review and the interviewees' experiences and feelings, four themes were identified as follows: ''the past accumulated experience helps to gain momentum and fight the next course of the disease,'' ''colleague encouragement and support help medical staff to be persistent in their work,'' ''lack of medical resources and the difficulties faced by staff in the medical environment, stick to the end,'' and ''the changing number of confirmed cases encountered through a patient's care journey.'' Conclusions: The study findings can help nursing staff caring for patients infected with the novel coronavirus by providing a basis for understanding psychological pressure among nurses and adjusting the response protocol.