Cross Vinette, Shah Peter, Glynn Martin, Chidrawar Shivani
Centre for Health and Social Care Improvement, University of Wolverhampton, Wolverhampton, United Kingdom.
Clin Ophthalmol. 2009;3:1-12. Epub 2009 Jun 2.
To explore the experiences of African-Caribbean patients who had undergone filtration surgery for advanced glaucoma.
Semi-structured qualitative interviews were used to collect the data and an interview guide was developed. Participants recounted when they first became aware of a problem with their eyes and their feelings at the time. Subsequently they were probed about their subjective experiences of becoming a glaucoma patient, receiving treatment, the decision to undergo surgery, and its aftermath. The perceptions of three participants from three different generations of African-Caribbean men were selected from the larger study for presentation in this paper. Interview transcripts were subjected to narrative analysis.
The concept of patient-partnership was re-framed in terms of mentorship. Surgeon-patient relationships are central to developing effective coping strategies. Support to face the ordeals ahead, challenge to take on new responsibilities, and help to envision a meaningful life with glaucoma are fundamental to fostering trust and maintaining motivation to continue.
The use of patient narratives provides a valuable a resource for enhancing communication skills and patient-centered care in the hospital eye service.
探讨接受晚期青光眼滤过手术的非裔加勒比患者的经历。
采用半结构化定性访谈收集数据,并制定了访谈指南。参与者讲述了他们最初意识到眼睛问题时的情况以及当时的感受。随后,他们被问及成为青光眼患者、接受治疗、决定接受手术及其后果的主观经历。从规模更大的研究中选取了三代不同的非裔加勒比男性中的三位参与者的看法,用于本文的展示。访谈记录进行了叙事分析。
患者伙伴关系的概念在指导关系方面得到了重新构建。医患关系对于制定有效的应对策略至关重要。面对未来磨难的支持、承担新责任的挑战以及帮助设想患有青光眼的有意义生活,对于建立信任和维持继续下去的动力至关重要。
患者叙事的运用为提高医院眼科服务中的沟通技巧和以患者为中心的护理提供了宝贵资源。