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冠心病介入治疗后患者心理体验的质性研究

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目的 科学评估冠心病介入治疗后患者的真实体验和内心感受,为临床医护人员开展针对性的干预提供参考.方法 采用目的抽样法抽取2022年4月至6月收住于郑州大学第一附属医院心血管内科并行介入治疗的14例患者进行半结构式访谈.以Colaizzi7步法对访谈内容进行分析、归纳、整理.结果 冠心病介入治疗后患者的体验可归纳为3个主题:①对疾病的错误认知;②生活方式改变对工作前景担忧,对之前的朋友主被动的疏离;③冠心病患者经皮冠状动脉介入治疗(PCI)术后获益感,期望得到家庭、社会、医护人员的关怀与支持.结论 患者冠心病介入治疗后,由于个人认知错误及生活方式改变导致对未来的担忧以及社交关系的疏远.临床医护人员应积极帮助患者建立对疾病正确的认识,建立医护人员-家庭-社会的支持环境.以期达到患者重拾战胜疾病信心与疾病和解与自己和解的目标.
Qualitative research on psychological experience of patients with coronary heart disease after interventional therapy
Objective To scientifically evaluate the real experience and inner feelings of patients with coronary heart dis-ease after interventional therapy,so as to provide reference for clinical medical staff to carry out targeted intervention.Methods Purposive sampling was used.A total of 14 patients who received interventional therapy in the cardiovascular department of a the First Affiliated Hospital of Zhengzhou University from April to June 2022 were selected for semi-structured interviews.Colaizzi 7-step method was used to analyze,summarize and organize the interview content.Results The experience of patients with coronary heart disease after interventional therapy could be summarized into three themes:① wrong cognition of disease;② changes in lifestyle,worries about job prospects,active and passive al-ienation from former friends;③ coronary heart disease patients'sense of benefit after PCI,expect to get care and support from family,society and medical staff.Conclusion Patients with coronary heart disease after percutaneous coronary in-tervention are worried about the future and alienated from social relationships due to personal cognitive errors and lifestyle changes.Clinical medical staff should actively help patients to establish a correct understanding of the disease and estab-lish a supportive environment for medical staff,family and society.In order to achieve the goal of regaining the confi-dence of patients to overcome the disease and reconcile with the disease and themselves.

Coronary heart diseaseInterventional therapyPsychological experienceQualitative research

魏伟、底瑞青、李楚阳、王姣姣、陈成群

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郑州大学第一附属医院心内CCU,郑州 450000

郑州大学第一附属医院护理部,郑州 450000

郑州大学第一附属医院药学部,郑州 450000

冠心病 介入治疗 心理体验 质性研究

河南省高等学校重点科研项目

23A320055

2024

医药论坛杂志
中华预防医学会,河南省医学情报研究所

医药论坛杂志

影响因子:0.47
ISSN:1672-3422
年,卷(期):2024.45(3)
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