人工角膜移植患者护理病程管理旅程地图应用研究

Application of patient journey mapping in nursing care pathway management for patients undergoing keratoprosthesis implantation

  • 摘要: 背景 人工角膜移植是复杂角膜盲症患者的终极复明手段,但术后管理贯穿终身,涉及多学科协作与持续护理支持,当前缺乏系统化的全周期护理管理框架。目的 探讨人工角膜移植患者护理病程管理的旅程地图应用成效。方法 基于患者旅程地图方法论,对16 例人工角膜移植术后患者进行半结构式深入访谈,结合参与式观察及病历回顾,采用主题分析法对资料进行归纳与分析。结果 依据诊疗时间轴,从行为、接触点、情感、痛点和机会点5 个维度,将患者病程管理划分为诊疗前期、手术决策期、术后急性适应期、居家康复期和长期共存期5 个阶段,提炼出44 个主题,构建患者旅程地图。结论 人工角膜移植患者疾病管理具有终身性与复杂性。基于旅程地图可精准识别各阶段核心需求,为构建以护士为主导的、覆盖全周期整合性护理体系提供依据,有助于提高护理质量。

     

    Abstract: Background Keratoprosthesis transplantation serves as the definitive vision-restoring therapy for patients with complex corneal blindness. Nevertheless, lifelong postoperative management is required, which demands multidisciplinary collaboration and sustained nursing support. At present, a systematic full-cycle nursing management framework remains absent. Objective To explore the application efficacy of patient journey mapping in disease course nursing management for patients receiving keratoprosthesis transplantation. Methods Based on the methodology of patient journey mapping, semi-structured indepth interviews were conducted with 16 patients after keratoprosthesis transplantation. Participant observation and medical record review were also adopted, and thematic analysis was utilized to summarize and analyze all collected data. Results Along the clinical timeline, the disease course of patients was divided into five stages: pre-diagnosis period, surgical decision-making period, acute postoperative adaptation period, home rehabilitation period, and long-term coexistence period, from five dimensions including behaviors, touchpoints, emotions, pain points and opportunity points. A total of 44 themes were extracted, and the patient journey map was established accordingly. Conclusion Disease management for patients undergoing keratoprosthesis transplantation is lifelong and complex. Patient journey mapping enables accurate identification of core demands at each clinical stage, provides evidence for constructing nurse-led integrated full-cycle nursing services, and facilitates the improvement of overall nursing quality

     

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