肝移植受者移植等候期的心理体验  

Psychological experience of liver transplant recipients in the waiting period

作　　者：郑静静 郑亚华[1] 张黎[1] ZHENG Jingjing;ZHENG Yahua;ZHANG Li(Nursing Department,Ningbo Medical Center Lihuili Hospital,Ningbo,Zhejiang province,315000,China)

机构地区：[1]宁波市医疗中心李惠利医院护理部,浙江省宁波市315000

出　　处：《中国护理管理》2022年第1期57-62,共6页Chinese Nursing Management

摘　　要：目的:描述肝移植受者从进入肝移植等候名单之日起到肝移植手术前这一时段的真实心理体验,希望能给予身处“困境”的患者些许指引、共情,同时为医护人员开展针对性的心理护理提供依据。方法:采用解释现象学分析,以研究者本人为研究工具,运用目的抽样,通过一对一半结构式深度访谈法访谈浙江省某医院拟实施肝移植术的终末期肝病患者,对资料进行分析与主题提炼。结果:肝移植受者移植等候期的心理体验包括理性抉择、患病体验、矛盾的心理-行为反应、益处发现4个主题。结论:肝移植受者移植等候期的患病体验较为复杂,矛盾的心理-行为反应共存,虽遭受疾病折磨却仍能获得益处发现。建议临床医护人员根据等候期肝移植患者的需求提供疾病信息支持,实施优质心理护理,最大程度地发挥同伴共情作用,使患者安全度过等候期。Objective:Describe the actual psychological experience of liver transplant recipients from the time they are placed on the liver transplantation waiting list to the time before the liver transplant operation,to provide guidance and empathy for patients in"difficulties",as well as reference for medical staff to take targeted psychological care for patients.Methods:The researcher as the research tool,and the explanatory phenomenological analysis was used for data analysis.By purpose sampling,patients with end-stage liver disease undergoing transplantation were included in a hospital in Zhejiang province,and a one-to-one half structured in-depth interview was used to collect data.Results:The psychological experience of liver transplant recipients during the preoperative waiting period included four themes:rational choice,experience of diseases,contradictory psychological-behavioral responses and benefit discovery.Conclusion:The liver transplant recipients experienced complicated psychological experience during the waiting period,and experiencing contradictory psychobehavioral responses at the same time.Although suffering from the disease,they can still obtain benefits.It is recommended for clinical medical staff to provide disease information support according to the needs of patients,implement high-quality psychological care,maximize the empathy of their peers,and to help the patients spend the waiting period safely.

关 键 词：肝移植 等候期 心理体验 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]