慢性阻塞性肺疾病患者长期使用干粉吸入剂的心理体验

Psychological experience of long time of using dry powder inhalation in patients with chronic obstructive pulmonary disease

目的:探讨慢性阻塞性肺疾病(COPD)患者长期使用干粉吸入剂的心理体验,为医务人员更好指导吸入剂的使用提供参考依据。方法:采用现象学方法,对13例COPD患者进行半结构式深度访谈,运用Colaizzi七步分析法对访谈资料进行分析。结果:共提炼出4个主题,包括社会自我重建、感念感恩、焦虑担忧、存在侥幸心理。结论:医务人员应关注患者在长期使用干粉吸入剂过程中的情绪变化,了解其产生的原因并采取针对性的干预措施,从而提高吸入剂使用依从性。

Objective:To deeply understand the psychological experience of long time of using dry powder inhaler in patients with chronic obstructive pulmonary disease(COPD),so as to provide basis for medical staff to better guide the use of inhaler.Methods:Phenomenological methods were used to conduct semi-structured in-depth interviews with 13 cases of COPD patients and the interview data were analyzed by Colaizzi seven-step analysis method.Results:Four themes were extracted,included social self-reconstruction,gratitude,anxiety and worry and fluke.Conclusion:Medical staff should pay attention to the emotional changes of patients with long time of using dry powder inhaler,to understand the causes and take targeted interventions to improve compliance with inhaler use.