颅内未破裂动脉瘤介入治疗患者疾病体验的质性研究  

The illness experience of patients with unruptured intracranial aneurysm undergoing interventional treatment:a qualitative research

作　　者：张娜芹 关欣[1] 王军[1] Zhang Naqin;Guan Xin;Wang Jun(Department of Neurosurgery,Xuanwu Hospital,Capital Medical University,Beijing 100053,China)

机构地区：[1]首都医科大学宣武医院神经外科,北京100053

出　　处：《中国实用护理杂志》2023年第29期2298-2304,共7页Chinese Journal of Practical Nursing

基　　金：首都医科大学宣武医院院级护理课题(XWHL-2019011)。

摘　　要：目的深入了解颅内未破裂动脉瘤介入治疗患者的疾病体验,为制订针对性护理干预方案提供参考依据。方法采用质性研究的半结构式访谈法,对17例颅内未破裂动脉瘤介入治疗患者进行深入访谈,采用主题分析法分析资料。结果提炼出5个主题及10个次主题,包括疾病认知有限(忽视疾病症状,错误就医行为)、疾病不确定感(害怕瘤体破裂,担心疾病复发)、信任医疗资源(信任诊疗技术,满意医疗服务)、渴望社会支持(希望家属陪伴,期待医护关怀)、积极自我管理(保持情绪稳定,建立健康行为)。结论医护人员应重视颅内未破裂动脉瘤患者患病过程中的身心感受,评估其需求、支持情况和应对能力,针对性地提供科学、有效的帮助,以促进其身心舒适。Objective To deeply understand the illness experience of patients with unruptured intracranial aneurysm undergoing interventional treatment,and to provide reference for formulating targeted nursing intervention programs.Methods The semi-structured interview method of qualitative research was used to conduct in-depth interviews in 17 patients with unruptured intracranial aneurysm undergoing interventional treatment.Data were analyzed by content analysis method.Results Five themes and ten sub-themes were extracted,including limited disease cognition(ignoring disease symptoms,wrong medical treatment behavior),uncertainty of disease(fear of aneurysm rupture,fear of disease recurrence),trusting in medical resources(trusting diagnosis and treatment technology,satisfactory medical service),desire for social support(hope for family members′companionship,expecting the concern of doctors and nurses),positive self-management(maintaining emotional stability,building health behaviors).Conclusions Medical staff should pay attention to the physical and mental feelings of patients with unruptured intracranial aneurysm during the disease process,assess their needs,support and coping ability,and provide scientific and effective help to promote their physical and mental comfort.

关 键 词：颅内动脉瘤 护理 定性研究 未破裂 疾病体验 

分 类 号：R473.6[医药卫生—护理学]