肝硬化并上消化道出血患者真实感受的质性研究

A qualitative study: Perception of patients with hepatocirrhosis and upper gastrointestinal bleeding

目的了解肝硬化上消化道出血患者治疗过程中的真实感受。方法采取现象学研究法，与18例典型患者进行深入访谈，真实记录，将获得的资料进行分析、整理、提出主题。结果肝硬化上消化道出血患者在不同阶段有恐惧、紧张、自责、埋怨、后悔、悲观绝望、依赖、抑郁心理。由于病程长，病情复杂，需要长期治疗，有沉重的精神和经济压力。结论护理人员应对不同时期的肝硬化上消化道出血患者提供个性化的心理护理。

Objective：To understand their perception of patients with hepatocirrhosis and upper gastrointestinal bleeding during treatment. Methods： 18 typical patients were interviewed bu indepth-interview using phenomenology method,and all data were recorded,sorted, analyzed,and found out the main topics. Results：The patients with hepatocirrhosis and upper gastrointestinal bleeding demonstrated fear, nervous,self-condemned,querimony,regretful,despair,dependent and depressed during different periods.They expressed severe mental and economic stress because of the long course of disease and treatment. Conclusion：Nurses should provide personalized psychological nursing measurements to patients with hepatocirrhosis and upper gastrointestinal bleeding during different periods.