炎症性肠病患者自我形象改变体验的质性研究

A qualitative study on experience of self-image change in patients with inflammatory bowel disease

目的:了解炎症性肠病患者自我形象改变体验,以期为改善患者自我形象制定合理的干预策略提供参考。方法:采用现象学研究方法对天津市某三级甲等医院收治的11例炎症性肠病患者进行半结构式深入访谈,运用Colaizzi 7步分析法对资料进行整理分析。结果:共归纳提炼4个主题,存在多种负性情绪、难以有所追求、不被理解接受、患病后有所收获。结论:炎症性肠病患者存在积极自我形象和较为严重的负性自我形象,医护人员应注重负性自我形象患者心理疏导,加强健康教育,协助社会力量,改善其自我形象,促进疾病康复。

Objective:To study the experience of self-image change in patients with inflammatory bowel disease,so as to provide a reference for developing reasonable and effective intervention strategies to improve patients*self-image.Methods:A total of 11 patients with inflammatory bowel disease admitted to a tertiary Class A hospital in Tianjin were included by the phenomenological research method.The patients received semi—structured in—depth interviews,and the data were analyzed by Colaizzi 7-step analysis method.Results:Four themes were summarized including multiple negative emotions,difficult to pursue,lack of understanding and acceptance,and gain from disease.Conclusion:Patients with inflammatory bowel disease have positive self-image and more serious negative self-image.Medical staff should pay attention to provide psychological counseling for patients with serious negative self-image,strengthen health education,and assist social forces to improve patients,self-image,so as to promote disease recovery.