目的 探讨高原基层医疗机构医护人员在高原肺水肿救护中的体验，为提升高原肺水肿护理质量提供参考。 方法 采用现象学研究方法，对12名具有丰富高原肺水肿救治经验的医护人员进行半结构访谈，并运用Colaizzi 7步法进行数据分析。 结果 高原基层医疗机构医护人员的高原肺水肿救护体验主要包括3个方面：复杂交织的情感体验（成就感、无力感、倦怠感）、高原特殊情境下的救护能力挑战（病情研判的认知负荷、资源限制下的实践妥协、患者个体差异的管理难题）、职业身份认同的内在冲突（培训缺失与能力停滞、轮转政策与经验碎片化）。 结论 建议相关医疗机构高度重视医护人员的救护体验，提供情感支持、增强救护能力、完善政策体系，以期全面提升救护质量。

Objective To explore the high-altitude pulmonary edema(HAPE) rescue experience of medical staff in high-altitude primary medical institutions,and to provide reference for optimizing the quality of HAPE. Methods A phenomenological research method was adopted to conduct semi-structured interviews with 12 experts with rich experience in treating HAPE,and the Colaizzi 7-step method was used for data analysis.Results HAPE rescue experience of medical staff in high-altitude primary medical institutions mainly inclued 3 aspects:complex and intertwined emotional experiences (accomplishment,powerlessness,burnout),rescue ability challenges in high-altitude special situations (cognitive load of disease diagnosis,practical compromise under resource constraints,management difficulties of individual patient differences),and internal conflicts of professional identity (lack of training and ability stagnation,fragmented rotation policies and experience). Conclusions It is recommended that medical institutions attach great importance to the rescue experience of medical staff,provide emotional support,enhance rescue capabilities,and improve policy systems in order to improve the overall rescue quality.

R473.82；R823

重庆市高等教育教学改革研究项目（203557）