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类风湿关节炎患者疼痛体验的质性研究 被引量:3

Qualitative study of pain experience in patients with rheumatoid arthritis
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摘要 目的深入探讨类风湿关节炎患者疼痛的真实体验,为下一步制订切实可行的干预措施提供依据。方法采用现象学研究方法,选取2020年9月至2021年1月在苏州大学附属第一医院就诊的18例有疼痛经历的类风湿关节炎患者进行半结构式访谈,用Colaizzi 7步分析法进行资料分析。结果类风湿关节炎患者疼痛体验归纳为6个主题:疼痛具有复杂性且无规律可循、疼痛缓解策略效果不佳、疼痛对日常生活产生负面影响、期待更多缓解疼痛的方法、疼痛时有选择性寻求他人帮助、经历疼痛带来积极改变。结论医护人员须重视类风湿关节炎患者疼痛真实体验和需求,借助信息技术及多学科合作,为患者提供有效的疼痛管理策略,并鼓励患者做出更多积极改变,缓解疼痛症状。 Objective To deeply explore the pain experience of patients with rheumatoid arthritis,so as to provide a basis for the practical interventions in the next step.Methods Using the phenomenological research method,18 patients with rheumatoid arthritis who experienced pain in the First Hospital of Soochow University from September 2020 to January 2021 were selected for semi-structured interviews,and the Colaizzi 7-step analysis method was used for data analysis.Results The pain experience of patients with rheumatoid arthritis were summarized into six themes.Pain was complex and erratic,pain relief strategies were ineffective,pain negatively affected daily life,expected more pain relief,seeking help selectively when pain occurs,and experienced pain brings positive change.Conclusions Medical staff must pay attention to the real experiences and demands of pain in rheumatoid arthritis patients,use information technology and multidisciplinary collaboration to provide patients with effective pain management strategies and encourage patients to make more positive changes to relieve pain symptoms.
作者 石松松 沈碧玉 陈昊洋 崔恒梅 李芸芸 李惠玲 Shi Songsong;Shen Biyu;Chen Haoyang;Cui Hengmei;Li Yunyun;Li Huiling(Department of Nursing,Shanghai Children's Medical Center,Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200127,China;School of Nursing,Shanghai Jiao Tong University,Shanghai 200025,China;School of Nursing,Soochow University,Suzhou 215006,China;Department of Nursing,the First Hospital of Soochow University,Suzhou 215006,China)
出处 《中国实用护理杂志》 2022年第30期2368-2374,共7页 Chinese Journal of Practical Nursing
基金 江苏省"六大人才高峰"高层次人才项目(WSN-234)。
关键词 定性研究 疼痛 类风湿关节炎 Qualitative research Pain Rheumatoid arthritis
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