主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2025, Vol. 25 ›› Issue (12): 1785-1790.doi: 10.3969/j.issn.1672-1756.2025.12.006

• 论著 • 上一篇    下一篇

左心室辅助装置植入患者健康管理旅程地图的研究

刘丹 杨倮 张艳明 安明明 周星彤 王现强   

  1. 中国医学科学院阜外医院成人心外科五病区,100037 北京市(刘丹,张艳明,安明明,周星彤,王现强);浙江中医药大学护理学院(杨倮)
  • 出版日期:2025-12-15 发布日期:2025-12-15
  • 通讯作者: 杨倮,博士,讲师,E-mail:yangluoyeah@163.com E-mail:E-mail:18810376506@163.com
  • 作者简介:刘丹,本科,护师,E-mail:18810376506@163.com
  • 基金资助:
    中央高水平医院攻关项目(2023-GSP-GG-6);浙江中医药大学校级科研项目(2023RCZXZK28)

Research on the health management journey map for patients implanted with Left Ventricular Assist Devices

LIU Dan, YANG Luo, ZHANG Yanming, AN Mingming, ZHOU Xingtong, WANG Xianqiang   

  1. Ward 5 of Adult Cardiac Surgery, Fuwai Hospital Chinese Academy of Medical Sciences, Beijing, 100037, China
  • Online:2025-12-15 Published:2025-12-15
  • Contact: E-mail:yangluoyeah@163.com E-mail:E-mail:18810376506@163.com

摘要: 目的:基于旅程地图识别植入左心室辅助装置(Left Ventricular Assist Device,LVAD)患者健康管理的多维需求,为该群体的护理管理路径提供借鉴。方法:运用描述性质性研究方法,于2023年11月至2024年8月在北京市某三级甲等专科医院选取13名LVAD术后门诊复诊患者进行半结构化访谈,采用内容分析法进行资料分析并绘制患者旅程地图。结果:按诊疗阶段时间轴,以诊疗活动、面临困境、患者需求、情绪及利益相关者为任务轴将LVAD患者诊疗过程归纳为专业、心理和社会3个方面主题,形成患者旅程地图。结论:LVAD患者康复过程漫长而复杂,医务人员应根据患者各阶段健康管理需求,制定相应解决措施,帮助解决LVAD患者所面临问题,满足LVAD患者各阶段需求。

关键词: 左心室辅助装置;患者旅程地图;健康管理需求

Abstract: Objective: To identify the multidimensional needs for health management of patients implanted with Left Ventricular Assist Devices (LVAD) based on journey maps, and to inform a care management pathway for this group. Methods: Using descriptive qualitative research methods, 13 LVAD patients undergoing postoperative follow-up in a tertiary grade A specialized hospital in Beijing were selected for semi-structured interviews from November 2023 to August 2024, and data were analyzed and patient journey maps were drawn using content analysis. Results: The patient journey maps were formed by categorizing the LVAD patients' diagnosis and treatment process into professional, psychological, and social themes according to the timeline of the diagnosis and treatment stage and the task line of diagnosis and treatment activities, difficulties faced, patients' needs, emotions and stakeholders. Conclusion: The rehabilitation process of LVAD patients is long and complex, and medical staff should formulate appropriate solutions according to the health management needs of patients at each stage to help solve the problems faced by LVAD patients and meet the needs of LVAD patients at each stage.

Key words: Left Ventricular Assist Device; patient journey map; health management need

中图分类号:  R47;R197