摘要
目的以时机理论为框架,探讨HIV/AIDS肛瘘手术患者在疾病不同阶段的疾病体验。方法采用现象学研究方法,对11例HIV/AIDS肛瘘患者入院至伤口痊愈进行全周期跟踪,根据时机理论于不同阶段进行五次半结构式深入访谈,采用Colaizzi分析法分析所收集资料。结果提炼出5个主题,分别为:①诊断期:担忧与懊悔;②术后早期:身心应对失调;③出院准备期:防护知识断层;④调整期:失助感;⑤访期:应对疾病积极性降低。结论提高关注,给予专业指导,实施全身心的整体照护,帮助患者寻求社会支持并预防暴露,可以提升HIV/AIDS肛瘘患者的生活质量。
Objective To explore the disease experience of patients with HIV/AIDS anal fistula surgery at different stages of the disease under the framework of timing theory.Methods 11 HIV/AIDS patients with anal fistula were closely followed up from hospital admission to wound recovery by using the phenomenological research method.Five semi-structured in-depth interviews were conducted at different stages according to the timing theory,and the collected data were analyzed by Colaizzi analysis.Results Five themes were identified.They were a)diagnosis period:worry and regret,b)early postoperative period:physical and mental coping disorders,c)discharge preparation period:gap of protection knowledge,d)adjustment period:loss of sense of help and e)follow-up period:decreased initiative to deal with the disease.Conclusions Paying more attention,providing professional guidance,implementing whole-hearted care,helping patients to seek social support and preventing exposure can improve the quality of life of HIV/AIDS patients with anal fistula.
作者
薛亚娟
刘思聪
张立
XUE Yajuan;LIU Sicong;ZHANG Li(School of Nursing,Nanjing University of Chinese Medicine,Nanjing 210023,China;Nanjing Affiliated Hospital of Nanjing University of Chinese Medicine(Nanjing Second Hospital),Nanjing 210003)
出处
《中国艾滋病性病》
CAS
CSCD
北大核心
2022年第4期402-405,共4页
Chinese Journal of Aids & STD
基金
南京市医学科技发展资金(QRX17070)。
