CAJ | 학술논문

目的：探索主动脉夹层（AD）患者患病早期被告知病情的真实体验。方法采用解释现象学分析方法，以半结构式访谈的方式对2013年11月至2014年2月入住我院的 AD 患者进行深度访谈，并结合参与观察法收集相关资料，使用内容分析法分析资料。结果依据资料饱和原则，共访谈AD 患者16例，将其真实体验归纳为4个高阶主题：疾病症状的体验；不良情绪的表现；应对方式；人生的顿悟。结论疼痛体验、突发危急病情、角色的改变等，导致被告知病情的 AD 患者产生复杂的心理体验。护理人员应关注此类患者的心理状态及其需要，采取有效的措施，有利于进一步治疗及其身心康复。
목적：탐색주동맥협층（AD）환자환병조기피고지병정적진실체험。방법채용해석현상학분석방법，이반결구식방담적방식대2013년11월지2014년2월입주아원적 AD 환자진행심도방담，병결합삼여관찰법수집상관자료，사용내용분석법분석자료。결과의거자료포화원칙，공방담AD 환자16례，장기진실체험귀납위4개고계주제：질병증상적체험；불량정서적표현；응대방식；인생적돈오。결론동통체험、돌발위급병정、각색적개변등，도치피고지병정적 AD 환자산생복잡적심리체험。호리인원응관주차류환자적심리상태급기수요，채취유효적조시，유리우진일보치료급기신심강복。
Objective To explore the real experience of patients with aortic dissection (AD) disease during the early phase of the disease. Methods Interpretation phenomenological analysis method was used in the study. Self- structured in- depth interviews were conducted with AD patients who were admitted to the hospital from November 2013 to February 2014, and combining the participation observation method to collect relevant data. Data were analyzed by content analysis. Results 16 cases were interviewed and four advanced themes were extracted: experience of disease symptoms; negative emotion; coping styles; the insight of life. Conclusions AD patients can produce complex psychological experiences when they are informed of the diagnosis because of the experience of pain, sudden critical illness, the role change and so on. Medical staff should pay attention to their psychological status and needs, take corresponding effective measures to promote the further treatment and their physical and psychological rehabilitation.