Suppr超能文献

以患者为中心的方法在肠易激综合征患者诊断检查中的重要性:一项定性研究。

The importance of a person-centered approach in diagnostic workups of patients with irritable bowel syndrome: a qualitative study.

作者信息

Ringstrom Gisela, Sjovall Henrik, Simrén Magnus, Ung Eva Jakobsson

机构信息

Gisela Ringstrom, PhD, RN, is Head Nurse, Department of Internal Medicine, Institute of Medicine, Sahlgrenska Academy and University of Gothenburg Centre for Person-Centered Care (GPCC), University of Gothenburg, Gothenburg, Sweden. Henrik Sjovall, PhD, MD, is Professor, Department of Internal Medicine, Institute of Medicine, Sahlgrenska Academy and University of Gothenburg Centre for Person-Centered Care (GPCC), University of Gothenburg, Gothenburg, Sweden. Magnus Simrén, PhD, MD, is Professor, Department of Internal Medicine, Institute of Medicine, Sahlgrenska Academy and University of Gothenburg Centre for Person-Centered Care (GPCC), University of Gothenburg, Gothenburg, Sweden. Eva Jakobsson Ung, PhD, RN, is Senior Lecturer and Associate Professor, Institute of Health and Care Sciences, Sahlgrenska Academy and University of Gothenburg Centre of Person-Centered Care (GPCC), University of Gothenburg, Gothenburg, Sweden.

出版信息

Gastroenterol Nurs. 2013 Nov-Dec;36(6):443-51. doi: 10.1097/SGA.0000000000000011.

Abstract

The aim of this study was to explore experiences of undergoing a diagnostic workup in patients with irritable bowel syndrome (IBS) at a unit for functional gastrointestinal disorders. Research has been sparse in addressing such experiences and the impact on well-being. Patients with IBS were invited to perform a workup of gastrointestinal tests. Of 120 patients who completed the tests, 20 were invited for an interview. Analysis of interviews was conducted through interpretative phenomenological analysis. One master theme emerged: validation of IBS experience inferred from three subthemes: the duality of suffering in IBS, coping with inflicted discomfort and pain, and capacity for resilience.Patients reported long-term suffering from symptoms including poor management within the healthcare organization. Despite inconvenience associated with the tests, patients expressed appreciation for professional attributes such as attentiveness that were perceived as a sense of being cared for and seen as a "person." During the workup, patients acquired greater knowledge of what IBS means, including knowledge about their own body functions and experienced relief that symptoms were not caused by any "dangerous" disease. Validation of IBS experience surfaced in the data implying that in such context, patients with IBS appear to find personal solutions to cope with everyday experiences and enhance autonomy.

摘要

本研究的目的是探讨在一家功能性胃肠疾病科室中,肠易激综合征(IBS)患者接受诊断检查的经历。针对此类经历及其对幸福感的影响的研究一直很少。邀请IBS患者进行一系列胃肠检查。在完成检查的120名患者中,20名被邀请参加访谈。通过解释现象学分析对访谈进行分析。出现了一个主要主题:从三个子主题推断出的IBS经历的验证,即IBS痛苦的双重性、应对所遭受的不适和疼痛以及恢复力。患者报告长期遭受症状折磨,包括在医疗机构内管理不善。尽管检查带来不便,但患者对诸如细心等专业特质表示赞赏,这些特质被视为一种被关心和被当作“人”看待的感觉。在检查过程中,患者对IBS的含义有了更多了解,包括对自身身体功能的了解,并因症状并非由任何“危险”疾病引起而感到宽慰。IBS经历的验证在数据中显现出来,这意味着在这种情况下,IBS患者似乎找到了应对日常经历和增强自主性的个人方法。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验