伴神经损伤胸腰椎骨折患者心理体验的质性研究

Qualitative study on psychological experience of patients with thoracolumbar fractures and nerve injury

目的了解伴神经损伤的胸腰椎骨折患者心理体验,进而帮助临床进行针对性的干预。方法采用质性研究中的现象学分析法,选取2022年1月至12月郑州市骨科医院收治的13例伴神经损伤的胸腰椎骨折患者,其中男10例,女3例,年龄29~49(38.77±6.93)岁,对其进行面对面结构式访谈,并通过Colaizzi的7步分析法对资料进行分析总结。结果经过阅读、整理、分析、分类和提炼共得出4个主题:知识需求迫切、疾病对心理的影响、护理需求、家庭负担较重。结论伴神经损伤的胸腰椎骨折患者存在不同的心理需求,了解其心理真实体验有助于护理人员重视患者心理困惑及需求,进而及时采取针对性的护理干预,改善患者心理状况。

Objective To understand the psychological experience of patients with thoracolumbar fractures and nerve injury,and to provide scientific basis for clinical intervention.Methods Using the phenomenological analysis method in qualitative research,13 patients with thoracolumbar fractures and nerve injury admitted to Zhengzhou Orthopedic Hospital from January to December 2022 were selected,including 10 males and 3 females;they were 29-49(38.77±6.93)years old.Face-to-face structured interviews were conducted on them.The data were analyzed and summarized by the Colaizzi's 7-step analysis method.Results After reading,organizing,analyzing,categorizing,and refining,a total of four themes were identified,including urgent knowledge needs,psychological impact of diseases,nursing need,and heavy family burden.Conclusion Patients with thoracolumbar fractures accompanied by nerve injury have different psychological needs,and understanding their true psychological experience is helpful for nursing staff to attach great importance to their psychological confusion and needs,and then take targeted nursing interventions timely to improve their psychological status.