肝衰竭行人工肝治疗患者真实体验的质性研究

Qualitative research on the real experience of patients with hepatic failure undergoing artificial liver treatment

目的 探讨肝衰竭患者行人工肝治疗期间的真实体验.方法 采用目的抽样法选择2016年1—6月在南通大学附属南通第三医院肝病科住院的10例肝衰竭行人工肝治疗患者,采用半结构访谈方法对患者进行深度访谈,了解其真实体验.结果 通过访谈肝衰竭行人工肝治疗患者的真实体验,提炼出4个主题：舒适的改变,焦虑、恐惧,有效应对能力不足,知识缺乏.结论 肝衰竭行人工肝治疗患者承受着较大的身心痛苦,护理人员应积极采取措施,缓解患者身体不适及负性情绪,提高其有效应对方式,改善生存质量.

Objective To explore the real experience of patients with hepatic failure during artificial liver treatment.Methods Totally 10 patients with hepatic failure undergoing artificial liver treatment hospitalized in Department of Liver Disease of Nantong the Third Hospital of Nantong University from January to June 2016 were selected as the research objects by objective sampling method. Semi-structured interview method was used to conduct the deep interview and know the real experience of patients.Results Four themes were extracted by interviewing the real experience of patients with hepatic failure during artificial liver treatment, which were： comfortable change, anxiety, fear, lack of effective coping capacity and lack of knowledge.Conclusions Patients with hepatic failure suffer great physical and mental pains during artificial liver treatment. Nursing staff should take positive measures to relieve patients＇ discomforts and negative moods, improve patients＇ coping capacity and promote their quality of life.