The content of patients' emotional expressions during follow-up consultations for chronic diseases.

IF 1.8 4区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
Chronic Illness Pub Date : 2024-09-01 Epub Date: 2024-03-25 DOI:10.1177/17423953241241758
Kebir Yasmina, Saint-Dizier de Almeida Valérie
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引用次数: 0

Abstract

Objectives: In this article, we seek to extract the themes that patients share when they express negative emotions in the context of follow-up consultation of chronic illness. We are mainly interested in patients with chronic illnesses, as these pathologies have a significant emotional overload leading to a significant deterioration of the patient's quality of life.

Methods: Our corpus included audio recordings of 12 chronic disease follow-up consultations conducted by physicians practicing in neurology, nutrition, internal medicine and infectiology. The 12 patients participating suffer from various chronic diseases: Parkinson's, HIV, diabetes, etc. We performed thematic content analyses on the emotional sequences in order to extract the themes underlying these emotional expressions.

Results: The 10 themes we have extracted are related to physical aspects, psychological aspects, the healthcare system and/or the healthcare provider, prognostic elements, social life, family life, aspects of professional life, issues of daily life, treatments and finally, aspects related to objectives and disease progress.

Discussion/conclusion: Our results show that follow-up consultations for chronic illnesses are consultations during which patients express emotions for different purposes. These emotional expressions concern particular themes that are not found in other forms of medical consultations. We will compare these results in the discussion part of this article.

慢性病复诊时患者的情绪表达内容。
研究目的在本文中,我们试图提取慢性病患者在复诊时表达负面情绪时所分享的主题。我们主要关注的是慢性病患者,因为这些病症会给患者带来严重的情绪负担,导致患者的生活质量显著下降:我们的语料库包括神经内科、营养科、内科和感染科医生进行的 12 次慢性病复诊的录音。这 12 名患者患有各种慢性疾病:帕金森病、艾滋病、糖尿病等。我们对情绪序列进行了主题内容分析,以提取这些情绪表达背后的主题:我们提取的 10 个主题涉及身体方面、心理方面、医疗系统和/或医疗服务提供者、预后因素、社会生活、家庭生活、职业生活方面、日常生活问题、治疗,最后是与目标和疾病进展相关的方面:我们的研究结果表明,慢性病随访咨询是患者出于不同目的表达情感的咨询。这些情绪表达涉及特定的主题,而这些主题在其他形式的医疗咨询中并不存在。我们将在本文的讨论部分对这些结果进行比较。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Chronic Illness
Chronic Illness Multiple-
CiteScore
3.80
自引率
0.00%
发文量
38
期刊介绍: Chronic illnesses are prolonged, do not resolve spontaneously, and are rarely completely cured. The most common are cardiovascular diseases (hypertension, coronary artery disease, stroke and heart failure), the arthritides, asthma and chronic obstructive pulmonary disease, diabetes and epilepsy. There is increasing evidence that mental illnesses such as depression are best understood as chronic health problems. HIV/AIDS has become a chronic condition in those countries where effective medication is available.
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