Department of Cardiothoracic- and Vascular Surgery, Odense University Hospital, Odense C, Denmark.
University of Southern Denmark, Odense C, Denmark.
J Clin Nurs. 2018 Jan;27(1-2):328-336. doi: 10.1111/jocn.13903. Epub 2017 Sep 15.
The aim of this study was to examine how hospitalised, surgical lung cancer patients experience talking to a former patient, and how the former patient experiences the role as supportive.
During hospitalisation, patients often create a community in which they can engage with fellow patients. The exchange of experiences with others in a similar situation might increase opportunities for support and complement nursing care, but there is a need for more evidence and understanding on the topic.
The methodological framework is based on the French philosopher Paul Ricoeur's text interpretation theory. Qualitative interviews were conducted with nine patients, including a peer informant, using a narrative structure. The analysis was conducted on three levels: (i) naïve reading, (ii) structural analysis and (iii) critical interpretation .
Four themes were developed from the analysis of the interviews: Exchanging emotional thoughts is easier with a peer; Talking to a peer reduces loneliness; Being ambiguous about a relationship with fellow patients; and Being the main person in the conversation with a peer. Sharing stories about having similar symptoms and undergoing similar journeys predominated, and the key feature of the contact between patients was the commonality of their stories.
Telling one's story to a former patient, and thereby creating a joint, common story, is the essence of this study. The support received in this process can be empowering because knowledge of the illness experience is shared and increased. This can help create new coping strategies. The contact with a former patient offered a way to confirm one's thoughts and to find a way out of the illness perspective, by seeing how the former patient had recovered.
The nursing field faces challenges in the relational aspect of caring because of ever greater efficient and shortened hospital stays; therefore, the peer support concept is becoming increasingly relevant. Patient peers offer each other their own perspectives, and it is important to raise awareness of the value of this and incorporate it into patient stays in hospital.
本研究旨在探讨住院肺癌患者与前患者交谈的体验，以及前患者作为支持者的体验。
住院期间，患者通常会形成一个社区，使他们能够与其他患者互动。与处于类似情况的其他人交流经验可能会增加支持机会并补充护理，但需要更多的证据和理解。
方法论框架基于法国哲学家保罗·利科的文本解释理论。对 9 名患者（包括一名同伴告知者）进行了定性访谈，使用叙述结构。分析分为三个层次进行：（i）幼稚阅读，（ii）结构分析和（iii）批判性解释。
从访谈分析中得出了四个主题：与同伴交流情感思想更容易；与同伴交谈可减少孤独感；对与其他患者的关系感到模棱两可；与同伴交谈时成为主要人物。分享关于有相似症状和经历相似旅程的故事占主导地位，而患者之间接触的关键特征是他们故事的共性。
向前患者讲述自己的故事，从而创造出一个共同的故事，是本研究的核心。在这个过程中获得的支持可能是赋权的，因为分享和增加了对疾病体验的了解。这有助于创造新的应对策略。与前患者的接触提供了一种确认自己想法并找到摆脱疾病视角的方法，通过观察前患者的康复情况。
由于高效和缩短的住院时间，护理领域在护理的关系方面面临挑战；因此，同伴支持的概念变得越来越重要。患者同伴为彼此提供自己的观点，重要的是要提高对这一点的认识，并将其纳入医院患者的住院治疗中。
