"这是一个工具,它有困难":对患者结肠镜检查经验的定性研究以及对创伤信息护理的影响
Katrina S Hacker1, Michael A Curley2, Corey A Siegel2
1Department of Psychiatry, Dartmouth Hitchcock Medical Center, 1 Medical Center Drive, Lebanon, NH 03756, USA.
结肠镜检查引起焦虑,但至关重要. 改善患者护理需要通过理解患者经历和实施创伤知情方法来解决情绪上的痛苦,以获得更好的结果.
科学领域:
- 胃肠病学 胃肠病学
- 患者体验 患者体验
- 心理医学 心理医学
背景情况:
- 结肠镜检查在约50%的患者中引起焦虑和痛苦.
- 这种痛苦与不良结果有关,例如增加疼痛,需要镇静剂,更长的程序,以及避免未来的查.
研究的目的:
- 从患者的角度探索结肠镜检查的情感和心理方面.
- 收集患者的建议,以提高结肠镜护理质量.
主要方法:
- 一个定性面试研究,涉及半结构面试与九名患者的结肠镜后.
- 数据收集和分析以创伤信息化护理原则和主题分析为指导.
主要成果:
- 患者认为结肠镜检查既是必要的工具,也是困难.
- 影响痛苦的关键主题包括患者因素 (过去的经历,应对),提供者沟通和过程元素 (准备,镇静,团队护理).
- 信任,透明和支持减轻了痛苦,而少数身份,过去的创伤和沟通不确定性加剧了它.
结论:
- 改善结肠镜检查体验需要解决复杂的患者,提供者和过程因素.
- 建议在内镜中采用一种基于创伤的全方位方法,以有效地管理患者的痛苦.
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