COPD患者焦虑体验与特异性原因质性研究

Qualitative Study of Anxiety Experience and Specific Causes in Patients with COPD

目的:COPD患者普遍存在焦虑,但很少有研究探索患者的焦虑体验,本研究旨在深入了解COPD患者焦虑内容,并识别引起焦虑的特异性原因,为采取针对性措施改善焦虑提供参考。方法:采用焦虑自评量表测量,选取焦虑评分 ≥ 50分的15名COPD患者进行半结构式访谈,运用现象学Colaizzi 7步分析法进行资料整理分析。结果:患者表现出强烈的恐慌和焦虑,并由特异性原因引起。分析揭示了6个主题:即对疾病症状、疾病进展、康复运动、社会交往、睡眠及长期氧疗的焦虑。结论:我们应重视对COPD患者焦虑的评估,准确识别引起焦虑的特异性原因,实施有针对性的健康教育及专业指导,有效地预防和管理焦虑,提高护理质量和患者的生活质量。

Objective:Anxiety is common in COPD patients, but few studies have explored the anxietyexperience of patients. This study aims to deeply understand the content ofanxiety in COPD patients, and identify the specific causes of anxiety, so as toprovide reference for taking targeted measures to improve anxiety. Methods: Usinganxiety and self-evaluation measuring, 15 COPD patients with anxiety score ≥ 50were selected for semi-structural interviews, and the phenomenological Colaizzi7 step analysis method was used to conduct data finish analysis. Results: Patientsshow strong panic and anxiety, and caused by specific reasons. The analysisrevealed six topics: anxiety of disease symptoms, disease progression,rehabilitation, social interaction, sleep and long-term oxygen therapy.Conclusion: We should pay attention to the assessment of COPD patient anxiety,accurately identify the specific cause of anxiety, implement targeted healtheducation and professional guidance, effectively prevent and manage anxiety,improve the quality of life of nursing and patient.