接受开胸手术的成年患者对疼痛的恐惧:一种解释性现象学分析。

IF 1.2 4区 医学 Q3 NURSING
Contemporary Nurse Pub Date : 2023-12-01 Epub Date: 2023-08-22 DOI:10.1080/10376178.2023.2249127
Seher Ünver, Meltem Yildirim, Semra Eyı, Serhat Hüseyın
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引用次数: 0

摘要

背景:接受开胸手术的患者焦虑和恐惧的来源之一是可能经历疼痛,如胸骨切开术相关胸痛。让他们有机会表达自己对潜在疼痛的感受可能会有效减轻他们的焦虑,并支持他们的应对策略:研究接受开胸手术的患者对疼痛的恐惧,并了解他们恐惧的深层原因:方法:根据海德格尔的解释现象学方法,按照 COREQ 指南进行了定性访谈。在一家大学医院的心血管外科病房对 16 名次日将接受开胸手术的患者进行了访谈。对定性数据的组织和映射是通过 ATLAS.ti 8.0 进行的:害怕术后疼痛的患者似乎更担心开胸手术本身(如胸骨切开术和胸腔插管引起的疼痛)以及术后疼痛延长的可能性。为了应对这些恐惧,患者采用了各种社会和自我应对策略。信任医护团队、疼痛耐受力强、个人想法优先于与疼痛相关的恐惧是不害怕疼痛的关键因素:这项研究让我们更深入地了解了患者在开胸手术前控制疼痛相关恐惧的根本原因和需求。信任医护人员是患者控制疼痛相关恐惧的主要因素之一。为了建立支持性信任感并帮助患者控制疼痛相关恐惧,外科护士在制定护理计划时必须投入足够的时间来了解患者的顾虑。今后的研究可重点探讨护理干预和多学科团队方法在控制术前疼痛相关恐惧中的作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pain-related fear among adult patients undergoing open-heart surgery: an interpretative phenomenological analysis.

Background: One of the sources of anxiety and fear among patients undergoing open-heart surgery is the possibility of experiencing pain, such as sternotomy-related chest pain. Giving them the chance to express their feelings about the potential pain may be effective in reducing their anxiety and may support their coping strategies.

Objectives: To examine pain-related fear among patients undergoing open-heart surgery and to understand the underlying reasons of their fears.

Methods: A qualitative interview based on Heidegger's interpretative phenomenological approach was conducted adhering to the COREQ guidelines. Sixteen patients who were undergoing open-heart surgery in the following day were interviewed at the cardiovascular surgery ward of a university hospital. The organization and mapping of the qualitative data was done by using ATLAS.ti 8.0.

Results: The patients who were afraid of experiencing pain after surgery seemed to be more concerned about open-heart surgery itself (such as pain from sternotomy and chest tubes) and the possibility of prolongation of postoperative pain. To cope with these fears, the patients employed a variety of social and self-coping strategies. Trusting the healthcare team, having a high pain tolerance, and having personal thoughts that take precedence over pain-related fear were the key factors explaining not being afraid of experiencing pain.

Conclusions: This study provides a deeper understanding of the underlying reasons and the needs of patients in controlling their pain-related fears before open-heart surgery. Trusting the healthcare professionals is one of the main factors for patients to control their pain-related fears. To develop a supportive sense of trust and to help patients in controlling their pain-related fears, surgical nurses must dedicate enough time for understanding patients' concerns while planning their nursing care plans. Future studies may focus on exploring the role of nursing interventions and multidisciplinary team approaches on the management of preoperative pain-related fear.

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来源期刊
Contemporary Nurse
Contemporary Nurse 医学-护理
CiteScore
2.00
自引率
6.20%
发文量
38
审稿时长
6-12 weeks
期刊介绍: Contemporary Nurse is an international peer-reviewed journal designed to increase nursing skills, knowledge and communication, assist in professional development and to enhance educational standards by publishing stimulating, informative and useful articles on a range of issues influencing professional nursing research, teaching and practice. Contemporary Nurse is a forum for nursing educators, researchers and professionals who require high-quality, peer-reviewed research on emerging research fronts, perspectives and protocols, community and family health, cross-cultural research, recruitment, retention, education, training and practitioner perspectives. Contemporary Nurse publishes original research articles, reviews and discussion papers.
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