前列腺增生患者排尿困难体验的质性研究  

Qualitative research on dysuria experience of patients with benign prostatic hyperplasia

作　　者：柯丹丹 王薇[2] 陆永良[1] Ke Dandan Wang Wei Lu Yongliang(Nursing Education Central of the First Affiliated Hospital, Medical College of Zhejiang University, Hangzhou 313000, China)

机构地区：[1]湖州师范学院护理系,313000 [2]浙江大学医学院附属第一医院护理教育中心,杭州310000

出　　处：《中国实用护理杂志》2017年第26期2028-2032,共5页Chinese Journal of Practical Nursing

摘　　要：目的探讨前列腺增生患者排尿困难的真实体验，为制订能满足不同个体需求且合理有效的干预措施提供依据。方法采用质性研究的现象学研究方法，对16例前列腺增生患者进行半结构式访谈，访谈资料的整理借助Nvivoll软件、资料的分析基于Colaizzi七步分析法。结果前列腺增生患者排尿困难的真实体验可分为3个主题：身体体验：多以往身强体健，起初意识不到自己患病；患者本人十分痛苦，且缺乏正确的指导；生活不便；睡眠质量差。心理体验：情绪控制能力差、心情抑郁；对相关并发症的担心；渴望专业的指导与帮助；保持良好心态。医疗体验：就医历程曲折；等待人院时间久。结论排尿困难给前列腺增生患者带来了强烈、复杂的心理反应，护士应深入了解患者不同心理反应的原因，制订个性化的干预措施，促进患者的身心康复。Objective To explore the experiences of prostatic hyperplasia patients with dysuria. The thesis is designed to meet the demand of different individuals and to provide basis for reasonable and effective intervention measures. Methods Semi-structure interview is carried out on 16 patients. Data was analyzed by Colaizzi＇ s seven steps of analysis methods. Results The prostatic hyperplasia patients with dysuria experiences were classified into three aspects. The first one was mental experience： the patients used to be healthy and unaware of his illness at first. Later the patients were very painful and lack of correct guidance. The result can lead to incontinence in life and poor quality of sleeping. The second one was psychological experience： the patients have low emotional control ability, which leads to depression and fear-related complications. The patients expect professional guidance and help; therefore, they need to establish a positive attitude towards life. The last one was medical experience： the process of treatment is long and painful, which needs a long period of waiting. Conclusion Patients suffering from dysuria with prostatic hyperplasia experience inconvenience in life. The nurses can help patients to build upon a certain confidence of life by understanding their physical and mental experience and promote physical and mental rehabilitation of patients.

关 键 词：前列腺增生 排尿困难 体验 质性研究 

分 类 号：R473.6[医药卫生—护理学]