疾病感知和心力衰竭中的情感经验:定性见解以告知个性化心理社会护理
Laura Suarez1, Christine Hughes2, Shawna Ehlers1
1Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN.
Journal of the Academy of Consultation-Liaison Psychiatry
|October 24, 2025
概括
患有心力衰竭 (HF) 的患者经历了显著的心理社会困扰,包括抑郁和焦虑,通常与他们的病情有关. 个性化护理至关重要,因为一个适合所有人的方法不足以管理这些复杂的情感经历.
科学领域:
- 心脏病学 心脏病学
- 心理学 心理学 心理学
- 社会学 社会学 社会学
背景情况:
- 心力衰竭 (HF) 影响着数百万美国成年人,主要是老年人,导致频繁的住院和再接收.
- 心理困扰,特别是抑郁症,在HF患者中很普遍,并与不良健康结果相关.
研究的目的:
- 探索心力衰竭 (HF) 患者的疾病感知和心理社会经验.
- 根据HF病因和患者的性别,调查这些经验的潜在差异.
主要方法:
- 一个定性研究设计,利用半结构化的电话访谈和邮件调查.
- 涉及35名HF患者在2021年2月至2022年5月期间招募.
- 采访被录音,转录,并使用NVivo定性数据分析软件进行分析.
主要成果:
- 该研究包括35名患者,平均年龄为71.8岁,63%是男性.
- 发现的常见心理社会主题是"心力衰竭的生活"",情感经验和应对"以及"个人和社区支持".
- 与男性相比,女性报告的抑郁症,焦虑症和抗抑郁药的使用率更高,HF病因方面也存在差异.
结论:
- 患有HF的患者通过生活方式调整来适应"新常态",出现不同的心理社会主题.
- 在这些主题中存在显著的变化,这表明标准化的心理社会困境管理方法是不够的.
- 在初级和专业医疗保健机构中,需要更多个性化护理策略,以满足高风患者的独特需求.
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