老年冠心病患者经皮冠状动脉介入术后社会疏离体验的质性研究  

Qualitative Study of Social Alienation in Elderly Patients with Coronary Heart Disease Undergoing Percutaneous Coronary Intervention

作　　者：魏伟 李楚阳 杜文婷[2] 陈成群[3] WEI Wei;LI Chuyang;DU Wenting;CHEN Chengqun(Cardiac CCU,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 453000,China;Department of Cardiology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 453000,China;Pharmacy,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 453000,China)

机构地区：[1]郑州大学第一附属医院心脏CCU,河南郑州453000 [2]郑州大学第一附属医院心内科,河南郑州453000 [3]郑州大学第一附属医院药房,河南郑州453000

出　　处：《河南医学研究》2024年第15期2715-2720,共6页Henan Medical Research

摘　　要：目的了解老年冠心病患者接受经皮冠状动脉介入术(PCI)后社会疏离的真实感受,为临床护理人员制定针对性的干预方案提供参考依据。方法采用目的抽样法,抽取2022年7月15日—30日于郑州大学第一附属医院心血管内科接受PCI的14例老年冠心病患者进行半结构式访谈。以Colaizzi 7步法对访谈内容进行分析、归纳、整理。结果老年冠心病患者接受PCI后存在社会疏离现象,疏离感体验可归纳为3个主题,9个亚主题。(1)患者主观的疏离感受:对疾病的不确定性、体会较少来自同龄人的情感共鸣、对家庭和家人的负疚感对疾病的错误认知。(2)客观的疏离:生活方式的改变、丧偶及同龄朋友的减少、医疗救助的不便利。(3)自我接纳,主动寻求积极救助:自我照顾让家人安心、社区支持和病友交流、信任医护及定期复查。结论老年冠心病患者接受PCI后,由于患者主客观的疏离感受导致对未来的担忧以及社交关系的疏远。医务工作者应积极制定针对性的干预方案以缓解患者的社会疏离感。Objective To understand the real feeling of social alienation in elderly patients with coronary heart disease after percutaneous coronary intervention(PCI),and to provide reference for clinical nursing staff to formulate targeted intervention programs.Methods Using objective sampling method.A semi-structured interview was conducted in 14 elderly patients with coronary heart disease underwent PCI admitted to Department of Cardiovascular in the First Affiliated Hospital of Zhengzhou University from July 15 to 30,2022.The content of the interview was analyzed,summarized and arranged by Colaizzi 7-step method.Results Elderly patients with coronary heart disease who receive interventional therapy experience social alienation,which can be summarized into three themes and nine sub themes.(1)Patient’s subjective sense of alienation:uncertainty about the disease,limited emotional resonance from peers,guilt towards family and loved ones,and incorrect perception of the disease.(2)Objective sense of alienation:changes in lifestyle,loss of spouse and peers,inconvenience in medical assistance.(3)Self acceptance,proactive seeking of positive assistance:self-care brings peace of mind to family members,community support and communication with patients,trust in medical staff,and regular check ups.Conclusion The subjective and objective sense of alienation of elderly patients with coronary heart disease after PCI leads to anxiety about the future and alienation of social relations.Medical workers should actively develop targeted intervention programs to ease patients’social alienation.

关 键 词：冠心病 老年 社会疏离 经皮冠状动脉介入术 质性研究 

分 类 号：R541.4[医药卫生—心血管疾病]