| 戚倩,费晓燕,陈雅萍,许懿.恶性梗阻性黄疸患者PTCD带管生活体验的质性研究[J].上海护理,2024,24(5): |
| 恶性梗阻性黄疸患者PTCD带管生活体验的质性研究 |
| The Life experience of malignant obstructive jaundice patients with indwelling PTCD ：a qualitative study |
| DOI： |
| 中文关键词: 黄疸 PTCD 自我管理 生活体验 质性研究 |
| 英文关键词:Obstructive jaundice percutaneous transhepatic cholangial drainage Qualitative study Life experience self-management |
| 基金项目:2020年上海市“医苑新星”青年医学人才培养资助计划-护理人才项目；上海交通大学医学院护理学科建设项目（SJTUHLXK2023）；上海交通大学医学院附属瑞金医院院级护理科研课题（RJKH-2023-007，RJKH-2023-021）； |
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| 摘要点击次数: 2018 |
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| 中文摘要: |
| 摘要： 目的 深入了解恶性梗阻性黄疸患者在经皮肝穿刺胆道引流术（PTCD）后带管生活的真实感受与内心体验，为制订有效的护理干预方案提供参考依据。方法 2022年6-12月，采用目的抽样法选取17例恶性梗阻性黄疸PTCD带管生活1个月以上的患者，对其进行半结构式访谈，利用Colaizzi七步法对资料进行整理分析。结果 通过分析得出3个主题，分别为积极体验、益处发现（改善黄疸症状、积极自我调适，提高自我管理）；消极体验、负性感受（日常生活的限制和压力、睡眠障碍、躯体的负性经历、心理的负性情绪）；期望与需求（对支持性照护的多样性需求，渴望社会支持）。 结论 医护人员在临床工作中应注重患者身心感受的动态评估，通过有效的、针对性的干预方法帮助患者解决PTCD带管生活期间出现的问题，同时加强疾病认知和出院准备服务，完善社会支持，更好实现自我管理。 |
| 英文摘要: |
| Abstract：Objective To explore the true feelings and inner experience of post-discharge patients who carry a percutaneous transhepatic cholangial drainage (PTCD) tube due to malignant obstructive jaundice，to provide a basis for formulating an effective nursing intervention program. Methods 17 cases who carry a PTCD tube more than 1 month due to malignant obstructive jaundice were selected by purposive sampling method. Semi-structured interviews were conducted and the data were analyzed by using the Colaizzi 7-step method. Results Three themes were obtained through data analysis. positive experience, benefit finding (improving jaundice symptoms, actively self-adjusting and improving self-management); negative experiences, negative feelings (limitations and pressures in daily life, sleep disorders, negative physical experiences, negative psychological emotions); expectations and needs (diverse needs for supportive care, eagerness for social support ). Conclusions Medical staff should pay attention to the dynamic evaluation of patients' physical and mental feelings, and solve the problems during PTCD management through effective and targeted interventions, strengthen disease awareness and the readiness for discharge, improve social support, and better self-management. |
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