主动脉夹层患者恐惧疾病进展心理体验的质性研究

doi:10.3761/j.issn.2096-7446.2025.04.003

摘要/Abstract

摘要：

目的了解主动脉夹层患者恐惧疾病进展的真实体验，并探讨其影响因素。方法采用目的抽样法，对2024年1月—3月南昌市某三级甲等医院心脏大血管外科收治的13例主动脉夹层患者进行半结构式深入访谈，采用Colaizzi现象学分析法整理分析资料。结果归纳出6个主题：复发恐惧、刺激因素、疾病不确定感、恐惧情绪影响日常生活、应对方式、支持系统。结论医护人员应重视主动脉夹层患者的恐惧心理体验，改善患者认知、降低疾病不确定感，提高自我效能，促进应对的积极转变，满足其健康管理需求，减轻复发恐惧情绪，从而改善患者的生活质量。

关键词: 主动脉夹层, 疾病不确定感, 恐惧疾病进展, 质性研究, 护理

Abstract:

Objective To understand the actual experience of fear of disease progression among patients with aortic dissection and explore its influencing factors. Methods Through the purposive sampling approach，semi-structured in-depth interviews were conducted with 13 patients with aortic dissection admitted to the cardiovascular surgery department of a tertiary class A hospital in Nanchang City from January to March 2024. Data were analyzed using Colaizzi’s phenomenological method. Results Six themes were summarized，including fear of recurrence，stimulating factors，illness uncertainty，impact of fear on daily life，coping styles，and support systems. Conclusion Medical staff should pay attention to the psychological experience of fear of patients with aortic dissection，enhance patients’ cognition，reduce disease uncertainty，improve self-efficacy，promote positive changes in coping，meet their health management needs，reduce the fear of recurrence，and thereby enhance their quality of life.

Key words: Aortic Dissection, Illness Uncertainty, Fear of Disease Progression, Qualitative Research, Nursing Care

张丹丹, 闵燕, 黄秋霞, 李会敏, 袁祎凌, 苗如婷. 主动脉夹层患者恐惧疾病进展心理体验的质性研究[J]. 中华急危重症护理杂志, 2025, 6(4): 403-408.

ZHANG Dandan, MIN Yan, HUANG Qiuxia, LI Huimin, YUAN Yiling, MIAO Ruting. Experience of fear of disease progression in patients with aortic dissection：a qualitative study[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(4): 403-408.

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