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湿性老年黄斑变性患者治疗期适应性挑战的现象学研究

卞薇 万君丽 于文春 谭明琼 周凤娇   

  1. 第三军医大学第一附属医院眼科,400038 重庆市
  • 出版日期:2017-10-25 发布日期:2017-10-25
  • 基金资助:
    第三军医大学第一附属医院青年创新项目(SWH2015QN04)

A qualitative study on the adaptive challenge of patients with Age-related Macular Degeneration during therapy

  • Online:2017-10-25 Published:2017-10-25

摘要: 目的: 深入了解湿性老年黄斑变性患者治疗期适应性挑战,为制订针对性的干预措施提供依据。方法:采用质性研究中的现象学研究方法,对22例治疗期的湿性老年黄斑变性患者进行半结构式访谈,采用NVivo10.0统计软件,根据Colaizzi现象学分析7步法进行整理。结果:湿性老年黄斑变性患者治疗期适应性挑战可归纳出控制的需求、矛盾的情绪、社会关系紊乱和难以承受的治疗压力4个主题。结论:应借鉴国外先进的康复模式和干预措施,发展适合我国国情的干预项目,将医疗服务提供者的角色由“为患者提供照顾”的技术专家扩展到“与患者共同管理疾病”和帮助患者及家人发展适应能力并培养新的适应技能的专家,最终提高湿性老年黄斑变性患者的生活质量。

Abstract: Objective: To explore the adaptive challenge of patients with Age-related Macular Degeneration (AMD) during therapy, in order to provide reference for continuous nursing care. Methods: It was a phenomenological study, and a total of 22 cases were recruited and recieved with semi-structural interviews. Results: Four themes were generalized including requirements for control, conflicting emotions, social relationship disorder, and the unbearable pressure of treatment. Conclusions: We should learn advanced rehabilitation model and intervention measures from foreign countries, develop suitable intervention project for China's, and extend the role of healthcare providers from technical experts who provide care for patients to experts who manage disease with patients and help them and their family to develop adaptive skill thus ultimately improve the quality of life of patients with AMD.