股骨头坏死游离腓骨治疗患者内心体验及应对方式的质性研究

Qualitative research on the psychological experience and coping style of patients with ONFH in the process of free vascularized fibular graft transplantation

目的 深入了解股骨头坏死（ONFH）游离腓骨治疗患者在治疗过程中的心理体验及应对方式,为临床护士制定针对性的干预措施提供依据.方法 2016年6—9月,采用现象学方法对10例住院患者进行半结构性访谈,采用Colaizzi资料分析原则进行资料整理分析,提炼主题.结果 提炼出3个主题：患者对疾病本身和治疗认识不足;患者承受较大的压力;患者自我意识的改变.结论 在ONFH行游离腓骨移植手术的患者的治疗过程中,医护人员应该多与患者交流,给予患者及家属更多情感上的支撑与帮助,通过心理支持、有效的康复指导和不良生活习惯的纠正,提高患者的治疗效果及应对能力.

Objective To deeply know the psychological experience and coping style of patients with osteonecrosis of the femeral head （ONFH） in the process of free vascularized fibular graft transplantation, and provide basis for the development of targeted interventions.Methods Semi-structured in-depth interviews were used to investigate 10 cases of patients undergoing free vascularized fibular graft transplantation for femoral head necrosis by phenomenology method. Colaizzi data analysis principles were used to analyze and refine topic. Results Three themes were extracted： patients with insufficient understanding of disease and treatment; patients under high pressure; change of self-consciousness.Conclusions In the process of free vascularized fibular graft transplannation for ONFH, medical staff should have much more communication with patients, and provide more support and help for patients and their families. Through the psychological support, effective rehabilitation guidance and correction of bad habits the treatment effect and patients＇ coping capabilities would be improved.