医患视角下初治中青年肺结核患者延迟重返工作成因的质性研究
Qualitative study on the causes of delayed return to work among young and middle-aged pulmonary tuberculosis patients from the perspective of doctors and patients
钟年好 1郑镇泳 2吴少玲 3胡亚南 2谭益冰2
作者信息
- 1. 广州中医药大学护理学院(广东广州,510006);广州市胸科医院内二科
- 2. 广州中医药大学护理学院(广东广州,510006)
- 3. 广州市胸科医院内二科
- 折叠
摘要
目的 深入了解中青年肺结核患者重返工作的成因,为制定中青年肺结核患者重返工作的支持性干预策略提供参考.方法 采取现象学研究方法,于2023年5-7月在广州市某专科医院,选取10名结核科医护人员和16例中青年肺结核患者进行半结构式访谈,采用Colaizzi七步分析法分析访谈资料.结果 分析得出3个主题及7个亚主题:污名化伤害(强烈的病耻感、工作被区别对待、来自同事的疏离感)、疾病相关恐惧(持续的身体不适、复发恐惧心理)、专科宣教不足(缺乏专业建议、缺乏专业科普).结论 中青年肺结核患者普遍存在延迟重返工作现象,应通过心理干预和多元化支持,帮助中青年肺结核患者在合适的阶段重返工作.
Abstract
Objective To deeply understand the causes of delayed return to work among young and middle-aged pulmonary tuberculosis pa-tients,and to provide reference for the development of supportive intervention strategies for these patients to return to work.Methods Semi-structured interviews with 10 medical staff and 16 young and middle-aged tuberculosis patients were conducted in pursuant to phe-nomenological design in a specialized hospital in Guangzhou from May to July 2023.Colaizzi seven-step analytical method was used to ana-lyze the interview data.Results Three themes and seven sub-themes were extracted:stigmatization(a strong sense of shame,being treated differently at work,alienation from colleagues),disease-related fear(persistent physical discomfort,fear of recurrence),and lack of spe-cialty-oriented education(lack of professional advice,lack of bringing science-to-the public initiative).Conclusion The phenomenon of de-layed return to work is common in young and middle-aged patients with pulmonary tuberculosis.Psychological intervention and diversified support should be used to help these patient sreturn to work at an appropriate stage.
关键词
中青年/肺结核/重返工作/职业康复/社会融入/延迟返岗/医患视角/质性研究Key words
young/middle age/tuberculosis/return to work/vocational rehabilitation/social integration/delayed return to work/doctor-patient perspective/qualitative research引用本文复制引用
基金项目
广东省研究生教育创新计划(2023)(2023SQXX_012)
广东省高等教育教学改革项目(2020)(粤教高[2020]20号)
出版年
2024
NETL
NSTL
万方数据