Dainty Andrew David, Allcock Nick, Cooper Joanne
School of Nursing, Midwifery and Physiotherapy, University of Nottingham, Nottingham, UK.
Nurse Res. 2014 Mar;21(4):27-31. doi: 10.7748/nr2014.03.21.4.27.e1228.
To assess the feasibility of using qualitative methods to explore psychological comorbidities associated with irritable bowel syndrome (IBS).
IBS is a condition that often has a significant effect on quality of life. It has a high prevalence of co-existing psychological illness, which has been associated with more severe and persistent symptoms and an increased need for specialist referral. Only a small number of research studies have explored patients' perceptions and experiences of IBS, particularly when they are compounded by the presence of psychological comorbidity.
Semi-structured interview methods were used to explore the patients' experiences and perceptions of IBS and co-existing psychological illness.
All interview data were transcribed before conducting a thematic analysis.
The paper reports the methods used to conduct a small feasibility study and discusses and justifies these methods. Methodological issues and the implications these may have on the conduct of the study are presented and critically discussed.
Important issues were identified during the design and conduct of the feasibility study relating to the quality of participant information, participant recruitment and the suitability of the proposed methods.
IMPLICATIONS FOR RESEARCH/PRACTICE: Semi-structured interviews are suitable methods for exploring complex issues such as the psychological comorbidities associated with IBS. Further research should explore the patient perception and experience of concomitant psychological illness, which would help researchers develop effective interventions for patients with IBS.
评估运用定性方法探究与肠易激综合征(IBS)相关的心理共病的可行性。
肠易激综合征是一种常对生活质量产生重大影响的疾病。它常伴有心理疾病,这与更严重和持续的症状以及增加的专科转诊需求相关。仅有少数研究探讨了患者对肠易激综合征的认知和经历,尤其是当心理共病存在时。
采用半结构化访谈方法来探究患者对肠易激综合征及并存心理疾病的经历和认知。
在进行主题分析之前,对所有访谈数据进行转录。
本文报告了用于开展一项小型可行性研究的方法,并对这些方法进行了讨论和论证。提出并批判性地讨论了方法学问题及其可能对研究实施产生的影响。
在可行性研究的设计和实施过程中,确定了与参与者信息质量、参与者招募以及所提议方法的适用性相关的重要问题。
对研究/实践的启示:半结构化访谈是探究诸如与肠易激综合征相关的心理共病等复杂问题的合适方法。进一步的研究应探索患者对伴随心理疾病的认知和经历,这将有助于研究人员为肠易激综合征患者开发有效的干预措施。