COPD患者焦虑体验与特异性原因质性研究
Qualitative Study of Anxiety Experience and Specific Causes in Patients with COPD

DOI: 10.12677/NS.2022.111003, PP. 13-19

Keywords: 慢性阻塞性肺疾病，焦虑体验，特异性，质性研究
Chronic Obstructive Pulmonary Disease, Anxiety Experience, Specificity, Quality Research

Full-Text   Cite this paper   Add to My Lib

Abstract:

目的：COPD患者普遍存在焦虑，但很少有研究探索患者的焦虑体验，本研究旨在深入了解COPD患者焦虑内容，并识别引起焦虑的特异性原因，为采取针对性措施改善焦虑提供参考。方法：采用焦虑自评量表测量，选取焦虑评分 ≥ 50分的15名COPD患者进行半结构式访谈，运用现象学Colaizzi 7步分析法进行资料整理分析。结果：患者表现出强烈的恐慌和焦虑，并由特异性原因引起。分析揭示了6个主题：即对疾病症状、疾病进展、康复运动、社会交往、睡眠及长期氧疗的焦虑。结论：我们应重视对COPD患者焦虑的评估，准确识别引起焦虑的特异性原因，实施有针对性的健康教育及专业指导，有效地预防和管理焦虑，提高护理质量和患者的生活质量。
Objective: Anxiety is common in COPD patients, but few studies have explored the anxiety experience of patients. This study aims to deeply understand the content of anxiety in COPD patients, and identify the specific causes of anxiety, so as to provide reference for taking targeted measures to improve anxiety. Methods: Using anxiety and self-evaluation measuring, 15 COPD patients with anxiety score ≥ 50 were selected for semi-structural interviews, and the phenomenological Colaizzi 7 step analysis method was used to conduct data finish analysis. Results: Patients show strong panic and anxiety, and caused by specific reasons. The analysis revealed six topics: anxiety of disease symptoms, disease progression, rehabilitation, social interaction, sleep and long-term oxygen therapy. Conclusion: We should pay attention to the assessment of COPD patient anxiety, accurately identify the specific cause of anxiety, implement targeted health education and professional guidance, effectively prevent and manage anxiety, improve the quality of life of nursing and patient.

References

[1]	中华医学会呼吸病分会慢性阻塞性肺疾病学组. 慢性阻塞性肺疾病诊治指南(2013年修订版) [J]. 中华结核和呼吸杂志, 2013, 36(4): 255-264.
[2]	Yohannes, A.M., Kaplan, A. and Hanania, N.A. (2018) Anxiety and Depression in Chronic Obstructive Pulmonary Disease: Recognition and Management. Cleveland Clinic Journal of Medicine, 85, S11-S18. https://doi.org/10.3949/ccjm.85.s1.03
[3]	Uchmanowicz, I., Jankowska-Polanska, B., Motowidlo, U., Uchman-owicz, B. and Chabowski, M. (2016) Assessment of Illness Acceptance by Patients with COPD and the Prevalence of Depression and Anxiety in COPD. International Journal of Chronic Obstructive Pulmonary Disease, 11, 963-970. https://doi.org/10.2147/copd.s102754
[4]	Singh, G., Zhang, W., Kuo, Y.F. and Sharma, G. (2016) Association of Psychological Disorders with 30-Day Readmission Rates in Patients with COPD. Chest, 149, 905-915.
[5]	Milanovi？, S.M., Erjavec, K., Polji？anin, T., Vrabec, B. and Bre？i？, P. (2015) Prevalence of Depression Symptoms and Associated Socio-Demographic Factors in Primary Health Care Patients. Psychiatria Danubina, 27, 31-37.
[6]	刘明. Colaizzi七个步骤在现象学研究资料分析中的应用[J]. 护理学杂志, 2019, 34(11): 90-92.
[7]	Irene, T.S., Marie, C.V., Gerald, V.D, Irene, C.M. and José, F.-B.M. (2014) Quality of Life in Hospitalized Patients for Exacerbation of COPD Included in a Physical Therapy Program. Chest, 145, 372A. https://doi.org/10.1378/chest.1823625
[8]	曹立楠, 王淑云, 杨富国, 袁玉艳, 梁瑶, 王艳, 等. 反刍思维对老年结肠造口患者自我表露与孤独感的中介效应[J]. 护理学杂志, 2016, 31(10): 96-99.
[9]	齐莹. 心理护理在合并焦虑和抑郁的慢性阻塞性肺疾病病人中的应用[J]. 护理研究, 2016, 30(36): 4599-4600.
[10]	陈亚红. 2017年GOLD慢性阻塞性肺疾病诊断、治疗及预防的全球策略解读[J]. 中国医学前沿杂志(电子版), 2017, 9(1): 37-47.
[11]	Cleutjens, F.A., Janssen, D.J., Gijsen, C., Dijkstra, J.B, Ponds, R.W. and Wouters, E.F. (2014) Cognitive Impairment in Patients with COPD: A Review. Tijdschrift voor Gerontologie en Geriatrie, 45, 1-9. https://doi.org/10.1007/s12439-013-0053-1
[12]	许玲, 张建薇, 葛兆霞. “317护”微信健康教育助手在老年慢性阻塞性肺疾病患者中应用的效果评价[J]. 护士进修杂志, 2019, 34(10): 890-894.
[13]	贾玉玲, 马红梅, 吴佼佼, 陈媛, 徐旭. 健康促进模式在慢性病患者健康教育中的应用现状[J]. 中华现代护理杂志, 2018, 24(9): 1103-1106.
[14]	曾丽智, 陈沁. 慢性阻塞性肺疾病病人家属的质性研究[J]. 护理研究, 2013, 27(29): 3219-3221.
[15]	刘玉慧. 慢性阻塞性肺疾病的流行病学及危险因素的研究进展[D]: [硕士学位论文]. 南昌: 南昌大学医学院, 2017.

Full-Text