A qualitative study exploring the experiences and needs of fear of disease progression in patients after open-heart surgery

IF 3.5 2区医学 Q2 PSYCHIATRY

Journal of Psychosomatic Research Pub Date : 2024-11-14 DOI:10.1016/j.jpsychores.2024.111980

Zilu Liang , Shaoyan Lin , Huimei Sun , Yingying Liao , Muchen Zhang , Cuishan Chen , Huijuan Song

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引用次数: 0

Abstract

Objective

Open-heart surgery (OHS) is a stressful event for patients, all of whom experience varying levels of worry and fear, leading to fear of disease progression (FoP). An in-depth understanding of the experiences and needs of FoP in patients after OHS is beneficial for healthcare providers to make optimal decisions, but this has not been reported. We aimed to explore the experiences and needs of FoP in patients after OHS by adopting a qualitative interview method.

Methods

A qualitative study was performed to recruit 18 qualified patients through purposive sampling and then conduct face-to-face, semi-structured interviews. The research setting was the cardiovascular surgery ward of a tertiary hospital in Guangdong, China, in 2024. The data were analyzed and extracted using conventional content analysis.

Results

In the study, four themes emerged: a) sources of FoP; b) effects of FoP; c) attitudes towards FoP; d) supportive service needs. The desire to obtain meaningful assistance and the profound experiences of FoP in patients after OHS gave rise to these themes.

Conclusions

FoP following OHS is a subjective feeling characterized by fear and discomfort. Care workers must completely grasp the patients' fear and provide personalized interventions to support them through the difficult recovery phase, which will also be the focus of future efforts in this area.

查看原文本刊更多论文

一项定性研究，探索开胸手术后患者对疾病进展恐惧的经历和需求。

目的：开胸手术（OHS）对患者来说是一个压力事件，所有患者都会经历不同程度的担忧和恐惧，从而导致对疾病进展的恐惧（FoP）。深入了解开胸手术后患者的恐惧经历和需求有利于医疗服务提供者做出最佳决策，但目前尚未有相关报道。我们的目的是采用定性访谈的方法，探讨老年性痴呆患者的恐惧经历和需求：方法：我们进行了一项定性研究，通过目的性抽样招募了 18 名合格患者，然后进行了面对面的半结构化访谈。研究环境为 2024 年中国广东省一家三级甲等医院的心血管外科病房。研究采用传统的内容分析法对数据进行分析和提取：在研究中，出现了四个主题：a) FoP 的来源；b) FoP 的影响；c) 对 FoP 的态度；d) 支持性服务需求。患者希望获得有意义的帮助以及在老年健康服务后对 FoP 的深刻体验产生了这些主题：老年健康服务后的 "恐惧 "是一种以恐惧和不适为特征的主观感受。护理人员必须完全理解患者的恐惧，并提供个性化的干预措施，以支持他们度过艰难的恢复阶段，这也将是该领域未来工作的重点。

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

Journal of Psychosomatic Research 医学-精神病学

CiteScore

7.40

自引率

6.40%

发文量

314

审稿时长

6.2 weeks

期刊介绍： The Journal of Psychosomatic Research is a multidisciplinary research journal covering all aspects of the relationships between psychology and medicine. The scope is broad and ranges from basic human biological and psychological research to evaluations of treatment and services. Papers will normally be concerned with illness or patients rather than studies of healthy populations. Studies concerning special populations, such as the elderly and children and adolescents, are welcome. In addition to peer-reviewed original papers, the journal publishes editorials, reviews, and other papers related to the journal''s aims.