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沉默的痛苦 - 心脏外科手术患者回忆低活性狂妄症定性描述性研究

Anna Falk¹, Malin Stenman¹, Jessica Kåhlin²

¹Department of Molecular Medicine and Surgery, Karolinska Institutet, L1:00, Anna Steckséns gata 53, SE-171 76 Stockholm, Sweden; Perioperative Medicine and Intensive Care Function E7:67, Karolinska University Hospital, SE-171 76 Stockholm, Sweden.

Intensive & critical care nursing

|July 22, 2023

概括

心脏手术患者经历过低活性妄想作为长期的平行现实,经常被医疗保健专业人员忽视. 改善查和以人为中心的护理对于识别和管理这种情况至关重要.

科学领域:

医学研究医学研究
患者体验研究患者体验研究
术后护理术后护理

背景情况:

手术后妄想会影响到50%的心脏手术患者.
低活性妄想,以减少活动为特征,由于其微妙的性质,经常被忽视.
有限的研究存在于患有低活性妄想的患者的生活经验.

研究的目的:

描述心脏手术后患有低活性狂妄症的患者的主观经验.
为了突出低活性妄想经常被忽视的影响.
为临床实践提供有关低活性妄想的识别和管理的信息.

主要方法:

使用半结构面试进行的定性描述性研究.
诱导性,潜伏性方法,有目的地采样12名患者.
使用定性内容分析分析的数据.

主要成果:

两个主要主题出现了:"平行世界中的梦想或现实"和"管理低活性妄想状态".
患者报告了平行现实,认知障碍,持续的梦和幻觉的经历.
患者通过对原因/疗法和社会互动的假设来智力地管理他们的病情.

结论:

低活性妄想被患者认为是广泛而持久的,涉及并行现实体验.
医疗保健专业人员需要在识别和管理低活性妄想的波动过程方面提高专业知识.
这项研究强调了改善查工具和以人为中心的方法对于有效的患者护理的必要性.

关键词:

狂妄症是什么意思狂妄症是什么意思过低活性过低活性以人为中心的护理术后护理术后护理定性研究是指质量研究.胸部外科手术胸部外科手术

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