医护患视角下血管迷走性晕厥患者情绪管理体验及方案需求的现象学研究  

Vasovagal syncope patients'experience of emotion management and program needs from the doctor-nurse-patient perspective:a phenomenological research

作　　者：高伊丽 俞海萍 唐宝馨 董严芬 许颖 秦佳文 李娜 张永庆 Gao Yili;Yu Haiping;Tang Baoxin;Dong Yanfen;Xu Ying;Qin Jiawen;Li Na;Zhang Yongqing(School of Medicine,Tongji University,Shanghai 200092,China;Department of Cardiovascular Medicine,Shanghai East Hospital,Tongji University,Shanghai 200123,China;Nursing Department,Shanghai East Hospital,Tongji University,Shanghai 200123,China;Medical Examination Department,Shanghai East Hospital,Tongji University,Shanghai 200123,China)

机构地区：[1]同济大学医学院,上海200092 [2]同济大学附属东方医院心血管内科,上海200123 [3]同济大学附属东方医院护理部,上海200123 [4]同济大学附属东方医院体检科,上海200123

出　　处：《中华现代护理杂志》2025年第4期462-469,共8页Chinese Journal of Modern Nursing

基　　金：2022年度浦东新区卫生系统学科带头人培养计划(PWRd2022-16)。

摘　　要：目的探讨医护患视角下血管迷走性晕厥(VVS)患者的情绪管理体验及方案需求。方法本研究为质性研究中的现象学研究。采用目的抽样法,于2024年3—5月选取同济大学附属东方医院晕厥中心的4名医疗专家、4名护理专家以及10例VVS患者为研究对象进行半结构化访谈。采用Colaizzi现象学资料分析法进行资料分析。结果主题一为情绪管理的初步认知与体验,其中医护视角包括情绪管理符合临床患者实际需求和管理方案专业性过强,且存在未知性2个亚主题;患者视角包括个体识别自身情绪状态能力存在差异、情绪管理相关知识缺乏和缺乏社会支持3个亚主题。主题二为情绪管理方案需求,其中医护视角包括多学科合作、适合临床操作并跟踪随访和线上、线下相结合,院内、院外联动2个亚主题;患者视角包括需医护指导开展,通俗易操作和形式多样化、个性化,满足不同人群需求2个亚主题。结论医护患对情绪管理的内容是相对陌生的,患者更甚。VVS患者情绪管理工作尚处于起步阶段,情绪管理作为康复工作的分支需重视其发展,将心理评估及干预工作纳入晕厥康复工作常规。Objective To explore the experience of emotion management and program needs of patients with vasovagal syncope(VVS)from the doctor-nurse-patient perspective.Methods This study was a phenomenological study in qualitative research.Using purposive sampling method,four medical specialists,four nursing specialists,and 10 patients with VVS from the Syncope Center of Shanghai East Hospital,Tongji University were selected from March to May 2024 for semi-structured interviews.Colaizzi's phenomenological data analysis was used to analyze the data.Results Theme 1 was the initial perception and experience of emotion management,in which the doctor-nurse perspective included two sub-themes of emotion management met the actual needs of clinical patients and the management program was too specialized and unknown,and the patient perspective included three sub-themes of differences in the ability of individuals to recognize their own emotional state,lack of knowledge related to emotion management,and lack of social support.Theme 2 was the need for emotion management programs,in which the doctor-nurse perspective involved two sub-themes of multidisciplinary cooperation,suitable for clinical operation and follow-up,and the combination of online and offline,and in-hospital and out-of-hospital linkage,and the patient perspective involved two sub-themes of the need for healthcare guidance,easy to operate,and the diversification of forms,personalization,and meeting the needs of different populations.Conclusions The content of emotion management is relatively unknown to doctors,nurses and patients,and even more so to patients.VVS emotion management work is still in its infancy,and emotion management as a branch of rehabilitation needs to be emphasized for its development,and psychological assessment and intervention work should be incorporated into the routine of syncope rehabilitation.

关 键 词：血管迷走性晕厥 非心源性晕厥 情绪管理 医护患 现象学研究 

分 类 号：R473.5[医药卫生—护理学]