心力衰竭患者症状管理体验的质性研究  

The lived experience of symptom management in patients with heart failure:a qualitative study

作　　者：龚静欢 朱凌燕 罗桢蓝[1] 徐梦琦 Gong Jinghuan;Zhu Lingyan;Luo Zhenlan;Xu Mengqi(School of Nursing,Shanghai Jiaotong University,Shanghai 200025,China)

机构地区：[1]上海交通大学护理学院,上海200025 [2]上海交通大学附属第六人民医院护理部

出　　处：《护理学杂志》2021年第12期39-42,共4页Journal of Nursing Science

基　　金：上海交通大学护理学院第二期护理高原学科建设专项基金项目(hlgy1902kygg)。

摘　　要：目的深入了解心力衰竭患者症状管理的体验,为优化症状管理策略提供参考。方法对17例心力衰竭患者采用现象学研究方法,进行关于症状管理体验的半结构式访谈,分析资料,提炼主题。结果共提炼出症状感知、症状困扰、症状管理知识缺乏、症状管理心理4个主题。结论心力衰竭患者症状管理认知一般,存在症状识别困难、知识缺乏及消极应对等情况,护理人员需加以重视,给予针对性干预,以提高患者症状管理能力和生活质量。Objective To explore the lived experience of symptom management in patients with heart failure(HF),and to provide reference for optimizing symptom management strategies.Methods Semi-structured interviews were conducted among 17 patients with HF,then data were transcribed and analyzed to identify themes.Results Four themes were determined:symptom perception,symptom distress,knowledge deficit,and thoughts/feelings of symptom management.Conclusion Perception of symptom management is at general level in patients with HF.They have difficulty in symptom identification,knowledge deficit and negative coping mode.Nursing staff need to pay attention to and provide targeted intervention,thus to enhance their symptom management ability and quality of life.

关 键 词：心力衰竭 症状管理 症状感知 症状困扰 症状管理知识 症状管理心理 质性研究 

分 类 号：R473.5[医药卫生—护理学]