摘要
目的探讨慢性心力衰竭急性失代偿患者住院期间营养支持过程中的真实体验,了解共性需求,为今后更好地为该群体提供针对性支持和构建营养支持方案提供参考依据。方法应用目的抽样法,于2022年1—2月对在上海健康医学院附属嘉定区中心医院住院的15例慢性心力衰竭急性失代偿患者进行一对一半结构式深度访谈,应用Colaizzi现象学7步分析法分析、归纳及提炼主题。结果通过详细分析资料,共提炼出5个主题,分别为情绪体验多样化、营养重视程度两极化、对医院营养支持不满、健康相关行为改变、内驱力。结论慢性心力衰竭急性失代偿患者住院期间对营养支持经历多种情绪体验,并对医院营养支持存一定的不满;对营养重视存在两极分化现象;健康行为的改变在内驱力方面表现为营养意识觉醒,积极改变,并愿意参与营养决策。因此,医护人员应加快和完善慢性心力衰竭患者营养支持方案的推进,以促进患者康复,提高患者的生活质量。
Objective To explore the real experience of nutritional support in patients with chronic heart failure and acute decompensation during hospitalization,understand the common needs,so as to provide a reference for implementing targeted support and constructing nutritional support programs for this group in the future.Methods From January to February 2022,15 patients with chronic heart failure and acute decompensation in Jiading District Central Hospital Affiliated Shanghai University of Medicine&Health Sciences were interviewed in depth in a one-to-one,semi structured way using the purposeful sampling method.Colaizzi phenomnological 7-step analysis method was applied to analyze,summarize and refine the theme.Results Through detailed analysis of data,five themes were extracted,namely,diversification of emotional experience,polarization of nutrition emphasis,dissatisfaction with hospital nutrition support,health related behavior change,and internal drive.Conclusions Acute decompensated patients with chronic heart failure experience a variety of emotional experiences on nutritional support during hospitalization,and are dissatisfied with hospital nutritional support.Their attention to nutrition is polarized.The change of health behavior is manifested in the awareness of nutrition,positive change and willingness to participate in nutrition decisionmaking.Therefore,medical staff should speed up and improve the promotion of nutritional support programs for patients with chronic heart failure to promote their rehabilitation and improve their quality of life.
作者
李永亮
钟敏慧
朱芳
于婵
段霞
Li Yongliang;Zhong Minhui;Zhu Fang;Yu Chan;Duan Xia(School of Medicine,Tongji University,Shanghai 200092,China;Coronary Care Unit,Jiading District Central Hospital Affliated Shanghai University of Medicine&Health Sciences,Shanghai 201800,China;Department of Gynaecology,the First Maternity and Infant Hospital Affiliated to Tongji University,Shanghai 201204,China;Nursing Department,the First Maternity and Infant Hospital Affiliated to Tongji University,Shanghai201204,China)
出处
《中华现代护理杂志》
2022年第35期4870-4876,共7页
Chinese Journal of Modern Nursing
基金
上海市2021年度“科技创新行动计划”医学创新研究专项(21Y11905900)
上海市医学重点专科项目(ZK2019C03)。
关键词
心力衰竭
急性失代偿性
营养支持
体验
质性研究
Heart failure
Acute decompensation
Nutritional support
Experience
Qualitative research
