中华现代护理杂志2024,Vol.30Issue(25) :3402-3408.DOI:10.3760/cma.j.cn115682-20240103-00040

心房颤动患者导管消融术后"空白期"复发恐惧体验的质性研究

Fear of recurrence during the"blanking period"after catheter ablation in patients with atrial fibrillation:a qualitative study

卢晓虹 郎晗旭 王纪哲 赵云霞 赵梦璐 张艳 魏丽丽
中华现代护理杂志2024,Vol.30Issue(25) :3402-3408.DOI:10.3760/cma.j.cn115682-20240103-00040

心房颤动患者导管消融术后"空白期"复发恐惧体验的质性研究

Fear of recurrence during the"blanking period"after catheter ablation in patients with atrial fibrillation:a qualitative study

卢晓虹 1郎晗旭 1王纪哲 1赵云霞 1赵梦璐 1张艳 2魏丽丽2
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作者信息

  • 1. 青岛大学附属医院心血管内科,青岛 266000
  • 2. 青岛大学附属医院护理部,青岛 266000
  • 折叠

摘要

目的 深入了解心房颤动(以下简称房颤)患者导管消融术后"空白期"复发恐惧体验.方法 基于自我调节常识模型制订访谈提纲.采用目的抽样法,选取2023年7-9月于青岛大学附属医院心血管内科门诊复查的15例房颤导管消融术后"空白期"患者为研究对象,对其进行半结构式访谈.采用定向内容分析法对资料进行分析.结果 提炼出4个主题,分别是复发恐惧的触发因素、对房颤复发的感知、负性情绪困扰和应对房颤复发的能力不足.结论 针对房颤导管消融术后"空白期"的患者,医护人员应密切关注患者的认知水平和心理状态,针对患者术后疾病管理、生活适应等多方面需求开展针对性健康教育,减少房颤患者术后"空白期"的复发恐惧.

Abstract

Objective To gain a deeper understanding of the fear of recurrence in patients with atrial fibrillation during the"blanking period"after catheter ablation.Methods The interview outline was developed based on common-sense model of self-regulated.From July to September 2023,purposive sampling was used to select 15 patients with atrial fibrillation in the"blanking period"after catheter ablation at the Cardiovascular Outpatient of the Affiliated Hospital of Qingdao University as research subjects,and semi-structured interviews were conducted.The targeted content analysis method was used to analyze data.Results Four themes were extracted,namely triggering factors of fear of recurrence,perception of atrial fibrillation recurrence,negative emotional distress,and insufficient ability to cope with atrial fibrillation recurrence.Conclusions For patients with atrial fibrillation during the"blanking period"after catheter ablation,medical and nursing staff should closely monitor the patient's cognitive level and psychological state,and carry out targeted health education to meet the patient's needs for postoperative disease management,life adaptation,and other aspects,so as to reduce the fear of recurrence in atrial fibrillation patients during the"blanking period"after surgery.

关键词

心房颤动/导管消融术/"空白期"/复发恐惧/质性研究

Key words

Atrial fibrillation/Catheter ablation/Blanking period/Fear of recurrence/Qualitative study

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基金项目

中华医学会杂志社2022-2023年护理学科研究课题(CMAPH-NRP2022013)

青岛市医疗卫生优秀人才培养项目()

出版年

2024
中华现代护理杂志
中华医学会

中华现代护理杂志

CSTPCD
影响因子:1.14
ISSN:1674-2907
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