老年COPD合并尿失禁患者症状体验及心理感受的质性研究

Symptoms and psychological experience of elderly COPD patients with urinary incontinence:a qualitative research

目的:深入了解老年慢性阻塞性肺疾病(COPD)合并尿失禁患者的症状体验和心理感受。方法:采用现象学研究方法,选取2021年1—2月在宁夏医科大学总医院和吴忠市人民医院呼吸与危重症医学科住院的17例老年COPD合并尿失禁患者进行半结构式深入访谈,应用KJ法对访谈资料进行分析、归纳并提炼主题。结果:共提炼出4个主题,分别为COPD与尿失禁症状间认知与管理的混乱、肺康复的依从性受到影响、交织的身心负担与心理调节、渴望医务人员对症状交互的关注和帮助。结论:老年COPD合并尿失禁患者在COPD与尿失禁症状的交互作用下存在多方面的困扰,医护人员应重视患者症状过程的复杂性及症状间的相互作用,及时进行有效的症状评估和干预,以改善患者肺康复的依从性,提高生活质量。

Objective To explore the symptoms and psychological experience of elderly patients with chronic obstructive pulmonary disease(COPD)and urinary incontinence.Methods From January to February 2021,a total of 17 patients in General Hospital of Ningxia Medical University and Wuzhong People's Hospital were enrolled by phenomenological method and interviewed using semi-structured interview method.KJ method was used to analyze,summarize and refine the interview data.Results A total of 4 themes were extracted,including confusion in cognition and management between COPD and urinary incontinence symptoms,affected compliance of lung rehabilitation,intertwined physical and mental burden and psychological adjustment,and eager for medical staff's attention and help to symptom interaction.Conclusions Elderly patients with COPD and urinary incontinence have many trouble under the interaction of symptoms.Medical staff should pay attention to the complexity of symptom process and the interaction between symptoms,and carry out timely and effective symptom evaluation and intervention,so as to improve patients'compliance of lung rehabilitation and quality of life.