复治肺结核患者患病经历的质性研究  

Qualitative research on experiences of illness in patients with retreated pulmonary tuberculosis

作　　者：陈丹萍[1] 黄亚菊[1] 

机构地区：[1]同济大学附属上海市肺科医院,上海200433

出　　处：《上海护理》2016年第1期5-8,共4页Shanghai Nursing

摘　　要：目的了解复治肺结核患者患病期间的心理体验,并分析其产生的原因。方法选择2015年1—4月在同济大学附属上海市肺科医院诊治的复治肺结核患者22例,采用现象学研究方法和半结构式访谈方式进行深入访谈,对获得的访谈资料进行整理分析,对患病经历的心理体验过程进行主题提炼。结果22例患者均完成访谈,共提炼出3个主题,分别是为隐瞒病情而感到无奈、被他人躲避而感到痛苦和对疾病治愈感到绝望。结论对疾病的错误认知以及社会公众的疏远、回避等是复治肺结核患者产生心理压力的重要原因。医务人员需指导患者采取主动积极的应对方式,并协助其完善社会支持干预系统,从而减轻其心理压力,有利于身心健康。Objective To investigate the experiences of illness in tuberculosis, and to analyze the countermeasures. Methods From retreated pulmonary tuberculosis in Shanghai Pulmonary Hospital, To the patients with retreated pulmonary January to April 2015, 22 cases with ngji University School of Medicine were selected. The phenomenological research methods and semi-structured interviews were used to perform in-depth interviews. The themes of illness experiences were extracted from the interview data analysis. Results All the cases completed the interview, and three themes were extracted as following： Feeling helpless for disease- concealing, feeling painful for being shunned by the public, and despairing of treatment. Conclusion The wrong disease cognition and being shunned by the public are important reasons for psychological pressure in retreated pulmonary tuberculosis patients. The medical staff should instruct the patients to take active coping style and improve the social support intervention, thereby reducing their psychological stress.

关 键 词：复治肺结核 患病经历 质性研究 

分 类 号：R473.5[医药卫生—护理学]