中国卫生标准管理2024,Vol.15Issue(10) :185-188.DOI:10.3969/j.issn.1674-9316.2024.10.043

肝硬化并发首次上消化道出血患者心理体验的质性研究

A Qualitative Study on the Psychological Experience of Patients With Liver Cirrhosis Complicated by First Upper Gastrointestinal Hemorrhage

刘志芳 李丽红 郭莉 王欢 成秀艳
中国卫生标准管理2024,Vol.15Issue(10) :185-188.DOI:10.3969/j.issn.1674-9316.2024.10.043

肝硬化并发首次上消化道出血患者心理体验的质性研究

A Qualitative Study on the Psychological Experience of Patients With Liver Cirrhosis Complicated by First Upper Gastrointestinal Hemorrhage

刘志芳 1李丽红 1郭莉 1王欢 1成秀艳1
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作者信息

  • 1. 临汾职业技术学院护理系,山西 临汾 041000
  • 折叠

摘要

目的 深入了解肝硬化并发首次上消化道出血患者的真实心理体验,并探讨其应对方式.方法 采用质性研究设计,于 2022 年 3-6 月对山西省临汾市某三甲医院消化内科的 11例代表性样本进行半结构化深度访谈,数据逐字转录,并使用Colaizzi的现象学方法进行主题分析.结果 确定了 2 个类属 5个主题.类属 1:负价体验,即焦虑与恐慌;自责与愧疚;自我负担感.类属 2:正价体验,即主动探求疾病知识;反思与成长.结论 肝硬化并发首次上消化道出血患者心理体验多样,护理人员要引导患者加强正价体验,改善负价体验,为制定和提供高质量的护理服务提供科学依据.

Abstract

Objective To investigate the real psychological experience of patients with cirrhosis complicated with first upper gastrointestinal hemorrhage and to explore their coping style.Methods A qualitative study design was used to conduct semi-structured in-depth interviews with 11 representative samples from the department of gastroenterology of grade A tertiary hospital in Linfen,Shanxi Province from March to June 2022.The data were transcribed verbatim,and subject analysis was carried out using Colaizzi's phenomenological method.Results Identified 5 themes in two categories.Category 1,negative valence experience,namely anxiety and panic,self-blame and guilt,a sense of self-burden.Category 2,positive valence experience,that is,actively seeking disease knowledge,reflect and grow.Conclusion Patients with cirrhosis complicated with first upper gastrointestinal hemorrhage have diverse psychological experience,and nursing staff should guide patients to strengthen positive valence experience and improve negative valence experience,so as to provide scientific basis for the formulation and provision of high-quality nursing services.

关键词

肝硬化/上消化道出血/首次/心理体验/护理/质性研究

Key words

cirrhosis/upper gastrointestinal bleeding/for the first time/psychological experience/nursing/qualitative study

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基金项目

山西省教育科学规划课题(十四五)(2022)(GH-220679)

出版年

2024
中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
参考文献量8
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