急诊行经皮冠状动脉介入治疗围术期患者心理体验的质性研究

Experience of Patients Undergoing Emergency Percutaneous Coronary Intervention During Perioperative Period:A Qualitative Study

目的探讨急诊行经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI)患者的围术期心理体验。方法2022年5-6月,采用目的抽样法对12例急诊行PCI治疗的患者进行半结构式访谈,采用Colaizzi 7步分析法对数据编码、分类及主题提取。结果急诊行PCI治疗患者围术期的心理体验可归纳为3个主题:术前恐惧和焦虑、术中迷茫和无助、术后担忧和憧憬。结论急诊行PCI治疗患者的心理体验与择期手术患者存在差异,医护人员需重视患者术前的疼痛管理和焦虑评估,术中应加强人文关怀,术后要帮助患者制订运动计划并维持其改变生活方式的内在动力。

Objective To explore the perioperative psychological experience of patients undergoing emergency percutaneous coronary intervention.Methods A semi-structured interview was conducted with 12 patients who met the admission criteria from May 2022 to June 2022 by objective sampling method,and Colaizzi 7-step analysis method was used to encode,classify and extract the data.Results The psychological experience of emergency percutaneous coronary intervention patients during perioperative period can be summarized into three themes:fear and anxiety before operation,confusion and helplessness during operation,and anxiety and longing after operation.Conclusions The psychological experience of patients undergoing emergency percutaneous coronary intervention is different from that of patients undergoing elective surgery.Medical staff should pay attention to pain management and anxiety assessment before operation,strengthen humanistic care during operation,and help patients make exercise plans and maintain their belief in changing their lifestyle after operation.