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The challenges of self-management among patients with recurrent hypertriglyceridemic acute pancreatitis: a
Rongzhen Zhao1, Feifei Li2, Haoran Zhu1
1School of Nursing, Shandong Medical and Pharmaceutical University, Binzhou, Shandong Province, China.
Abstract:
In China, the incidence of hypertriglyceridemic acute pancreatitis (HTG-AP) has increased steadily in recent years, making it the second leading cause of acute pancreatitis. Compared with other types of pancreatitis, including biliary and alcoholic pancreatitis, HTG-AP is associated with greater disease severity and higher mortality. Consequently, preventing the recurrence of HTG-AP has become a major clinical priority. Effective home-based self-management plays a critical role in reducing the risk of recurrence. However, the self-management challenges, real-life experiences and support needs of patients with recurrent HTG-AP remain poorly understood. Therefore, this study aimed to explore these issues and address the existing research gap. To explore the self-management challenges and support needs of patients with recurrent HTG-AP, thereby providing a reference basis for developing self-management intervention programmes tailored to patients' actual needs. This descriptive phenomenological study employed purposive sampling to recruit 25 patients with recurrent HTG-AP from a tertiary hospital in Shandong Province, China. Data were collected through semi-structured interviews, analyzed using Colaizzi's seven-step method, and reported in accordance with the Consolidated Criteria for Reporting Qualitative Research guidelines. Five major themes emerged from the analysis: (1) Inadequate disease awareness; (2) Challenges in behavioural management; (3) Difficulties in psychological adaptation; (4) Constraints of the support system; (5) Unmet Self-management needs. This study identified the specific challenges and needs experienced by patients with HTG-AP during home-based self-management. The findings may offer valuable insights for the development of targeted clinical support strategies and individualised self-management approaches, and may inform future intervention research aimed at enhancing self-management abilities among patients with HTG-AP.
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01:30Acute Pancreatitis II: Clinical Manifestations and Management
01:29Chronic Pancreatitis II: Collaborative Care
Assessment:
01:25Acute Pancreatitis I: Introduction
01:27Acute Pancreatitis I: Introduction
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
01:25Chronic Pancreatitis I: Introduction
01:24Chronic Pancreatitis I: Introduction
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...