摘要目的:了解住院患者对医疗护理员陪护服务需求的真实体验，探究人群差异，为进一步优化住院患者陪护管理制度提供依据。方法:采用描述性质性研究，按照目的抽样法抽取2023年12月至2024年1月收治于复旦大学附属中山医院的19例住院患者进行半结构式深度访谈，获取患者的个人属性、陪护现状、医疗护理员陪护服务使用体验等信息。通过Colaizzi 7步分析法分析资料，完成事实标签和模型维度建构。人工抽取患者对医疗护理员陪护需求的特征并构建画像，采用图片和标签的形式完成画像的可视化。结果:共访谈住院患者19例，其中男12例，女7例，年龄（63.16 ± 11.56）岁。住院患者对医疗护理员的陪护需求特征共提取4个维度：陪护认知特征、健康状况特征、家庭支持特征、心理需求特征，结合患者的个人属性及真实体验，构建出3类典型画像，命名为独立自主型、互助协作型、完全依赖型。结论:住院患者在医疗护理员陪护需求方面存在一定的群体异质性，可根据不同患者画像特征，有针对性地制订并实施医疗护理员陪护管理策略。

abstractsObjective:To understand the experience of inpatients′ needs on medical nursing assistants, and explore the characteristics and population differences, in order to provide a reference for optimizing the inpatient companion management system.Methods:The descriptive qualitative study was adopted for semi-structured in-depth interviews of 19 inpatients hospitalized in Zhongshan Hospital Fudan University from December 2023 to January 2024 based on purposive sampling. Information on personal characteristics, status and experience of dependence on medical nursing assistants was collected. Colaizzi seven-step analysis method was used to construct the fact labels and model dimensions. Manually extract the characteristics of inpatients′ needs on medical nursing assistants, and construct a user persona to complete the visualization.Results:A total of 19 inpatients′ were interviewed, including 12 males and 7 females with an average age of (63.16 ± 11.56) years. Four dimensions were extracted including cognitive characteristics, health status characteristics, family support characteristics, and psychological characteristics. Combined with personal traits and experience, three types of typical user persona were constructed including independent type, mutual assistance and cooperation type, complete dependence type.Conclusions:Group heterogeneity existed in the demand of inpatients on medical nursing assistants. According to the user persona, the manager should formulate personalized and precise caregiver management strategies.