摘要
目的:基于认知适应理论,深入了解糖尿病足溃疡患者益处发现体验,为促进患者心理健康提供参考。方法 :采用目的抽样法,选择2023年5月至2024年5月在北京市某三级甲等医院就诊的14例糖尿病足溃疡患者进行半结构式访谈,运用Colaizzi 7步分析法分析提炼主题。结果 :对访谈资料进行整理、分析和归纳,提炼出3个主题6个亚主题,即探究意义(反思认清疾病、渴望回归生活)、获得控制感(自我调适保持身心平衡、反复摸索进行疾病管理)、自我增强(积极心态引领生活转变、信心提升规划未来生活)。结论 :糖尿病足溃疡患者具有多重益处发现体验,临床医护人员应重视患者益处体验,加强糖尿病足溃疡知识宣教,重塑疾病认知,帮助患者更好地接受和应对疾病,促进疾病的治疗和康复,提升患者的身心健康水平。
Objective:To gain an in-depth understanding of the benefit-finding experiences of patients with diabetic foot ulcers based on the cognitive adaptation theory to provide a reference for the promotion of patients'mental health.Methods:Purposive sampling was used to select 14 patients with diabetic foot ulcers who attended a tertiary grade A hospital in Beijing from May 2023 to May 2024.Then semi-structured interviews were conducted to analyse and refine the themes using the Colaizzi 7-step analysis.Results:The interview data were collated,analysed and summarised to extract three themes and six sub-themes,i.e.,exploring meaning(reflecting on recognising the disease,longing to return to normal life),gaining a sense of control(self-adjustment to maintain physical and mental balance,repeated groping for disease management),and self-enhancement(positive mindset leads to life transformation,confidence enhancement for future life planning).Conclusion:Patients with diabetic foot ulcers have multiple benefit-finding experiences.Therefore,healthcare professionals should pay attention to their benefit-finding experiences,strengthen the health education of the disease to reshape their disease cognition and help them better accept and cope with the disease,so as to promote the treatment and rehabilitation of the disease and enhance patients'physical and mental health.
作者
余红丽
祝红娟
王倩
王利卫
YU Hongli;ZHU Hongjuan;WANG Qian;WANG Liwei(Senior Department of Burns and Plastic Surgery,The Fourth Medical Center of PLA General Hospital,Beijing,100048,China)
出处
《中国护理管理》
北大核心
2025年第5期754-757,共4页
Chinese Nursing Management
关键词
糖尿病足溃疡
益处发现
质性研究
心理健康
护理
diabetic foot ulcers
benefit finding
qualitative research
mental health
nursing care
作者简介
第一作者:余红丽,本科,主管护师;通信作者:祝红娟,硕士,副主任护师,护士长,E-mail:zhuhj456@163.com。
