摘要
目的探索和理解抑郁症患者内心痛苦的情感体验,以及他们在诊断、治疗、康复过程中的真实心理感受。方法用立意取样法选取12例抑郁症患者,运用深入访谈法收集资料,Colaizzi法分析资料。结果经分析,萃取出4个主题:①就医的曲折历程:患病初期多意识不到自己患病而延误了就医;去综合医院反复就诊和检查造成治疗延误。②住院期间的感受:对医院环境与管理模式的不满情绪;住院期间的焦急与无奈;来自经济方面的压力。③疾病本身带来的痛苦:内心的痛苦缺乏有效的情感支持;在生与死之间徘徊。④对病耻感的体验与感知:自觉的羞耻感;实际遭遇到的歧视。结论抑郁症患者在就医过程中需要抑郁症识别和治疗专业知识引导,需要适合抑郁症患者的个性化的住院环境和管理模式,需要深切的人文关怀和有效的情感支持,医护人员应深入理解和感受他们的痛苦,在治疗疾病的同时减轻其病耻感。
Objective To explore and understand the inner painful emotional experience of patients with depression as well as the actual feelings in the process of diagnosis,treatment and rehabilitation. Methods Twelve patients with depression selected by purposive sampling were interviewed,and the data was analyzed by Colaizzi method. Results Four themes were found：① the tortuous course of medical treatment：patients didn＇t know their illness early and delayed diagnosis of depression;they experienced physical checks in general hospitals before the medical treatment. ②the feeling in mental hospital：they were discontented with conditions and the management mode of the hospital;they felt anxious and helpless and were worried about finance burden. ③the pain from despression：They conldn＇t feel an effective emotional support and were trapped between life and death. ④the experience and perception of stigma：they felt or perceived stigma and enacted stigma. Conclusion Depression patients need professional guidance of identifying and treatment,need deep humanistic care and effective emotional support. Medical staff should understand their pain deeply and reduce the stigma.
出处
《中华护理杂志》
CSCD
北大核心
2008年第11期965-968,共4页
Chinese Journal of Nursing
关键词
抑郁症
质性研究
临床护理研究
Depressive disorder
Qualitative Research
Clinical Nursing Research
