摘要
目的明确急性心肌梗死（AMI）患者住院期间的心理体验。方法以2012年11月至2013年2月就诊于河南科技大学第一附属医院心内科的10例AMI患者为研究对象，对其进行半结构式深度访谈，采用扎根理论质性研究法分析资料。结果AMI患者住院期的心理体验可归纳为6个主题，即确诊时的无奈和依赖、AMI引起的将死感、对治疗中各种问题的困惑、经皮冠状动脉介入治疗（PCI）术后的安心感、对AMI的后怕和对过度治疗的担心。而对治疗中各种问题的困惑又可以归纳为3个次主题，即手术时间的困惑、术后排便问题的困惑和AMI相关知识细节的困惑。结论AMI患者住院期间伴随着复杂的心理体验，医务人员有必要依据患者心理体验采取有效沟通与介入措施，以满足患者需求。
Objective To observe the psychological experience of patients with acute myocardial infarction （AMI） during hospitalization. Methods From November 2012 to February 2013, semi- structured interviews were conducted in 10 patients with AMI in the Cardiovascular Department of First Affiliated Hospital of Henan University of Science and Technology. Grounded theory approach was performed to analyze the collected data. Results The 6 themes and 3 secondary themes during their hospitalization were： helplessness and dependence when AMI was diagnosed fear of immediate death induced by AMI, confusion on various problems such as operation time, excretory after PCI and limited knowledge details, the feel of safety after PCI, the fear of AMI, and the worry about overtreatment. Conclusions Hospitalized AMI patients have complicated psychological responses. Medical staff should provide targeted strategies and timely communication with AMI patients to reduce their psychological burden.
出处
《中华心血管病杂志》
CAS
CSCD
北大核心
2015年第7期605-608,共4页
Chinese Journal of Cardiology
基金
河南省高教学会“十二五”高等教育科学研究立项课题（11009）
河南省教育科学“十二五”规划2012年度立项课题（2012-JKGHAD-0206）
关键词
心肌梗死
心理学
临床
Myocardial infarction
Psychology, clinical
