中青年退缩人综合征患者灵性需求的质性研究  

Qualitative study on spiritual needs of young and middle-aged patients with shrinking man syndrome

作　　者：彭丽丽[1] 刘海燕[1] 张少华 李妍[1] 卢乃聪 尹琳[1] Peng Lili;Liu Haiyan;Zhang Shaohua;Li Yan;Lu Naicong;Yin Lin(Department of Interventional Medicine,China-Japan Friendship Hospital,Beijing 100029,China)

机构地区：[1]中日友好医院介入医学科,北京100029

出　　处：《中国实用护理杂志》2022年第8期630-635,共6页Chinese Journal of Practical Nursing

基　　金：中日友好医院院级科研基金资助课题(2019-2-HL-4)。

摘　　要：目的了解中青年退缩人综合征(SMS)患者的灵性需求, 为制订针对性的干预计划提供参考。方法 2021年5—7月, 采用目的抽样法抽取在中日友好医院介入医学科接受甲状旁腺功能亢进热消融治疗的中青年SMS患者14例, 运用质性研究方法进行半结构式访谈, 采用7步分析法分析访谈资料。结果归纳中青年SMS患者灵性需求并提炼出4个主题, 14个亚主题:对疾病的理解与自我接纳(对疾病的归因、疾病不确定感、接纳与疾病共存的状态);对社会支持的需求(爱与尊重、联系与陪伴、家庭支持、医护支持、病友支持);人生价值与意义感(人生意义与目标、自尊、宗教信仰);自我实现与超越(对病情好转抱有希望、渴望奇迹发生、实现自身价值)。结论医护人员应重视中青年SMS患者的灵性需求, 并有针对性地对其灵性需求加以满足, 提升患者的生命意义感与价值感, 帮助他们更好地带病生存, 回归社会。Objective To determine the spiritual needs of shrinking man syndrome(SMS)in young and middle-aged patients,and to provide reference for determining targeted intervention plans.Methods From May to July,2021,14 young and middle-aged patients with SMS who received hyperparathyroidism thermal ablation in the Interventional Medicine Department of China-Japan Friendship Hospital were selected by purpose sampling method.Qualitative research phenomenology was used to conduct semi-structured in-depth interviews,and the interview data were analyzed by Colaizzi 7-step analysis method.Results There were 4 themes and 14 sub-themes:"understanding and self-acceptance of illness"(attribution to illness;disease uncertainty;acceptance and illness),"need for social support"(love and respect;connection and companionship;family support;medical support;patient support),"life value and sense of meaning"(life meaning and goal;self-esteem;religious belief),"self-actualization and transcendence"(hope for improvement;eager for miracles;realize your value).Conclusions Medical staff should pay attention to the spiritual needs of young and middle-aged patients with SMS,and specifically meet their spiritual needs during diagnosis,treatment,nursing and follow-up,so as to improve the patients′sense of life meaning and value,and help them to better survive with disease and return to society.

关 键 词：定性研究 心理护理 退缩人综合征 灵性需求 

分 类 号：R473.5[医药卫生—护理学]