1 North Tyneside Hospital, Northumbria Healthcare NHS Foundation Trust, UK.
2 Staffordshire University, UK.
J Health Psychol. 2019 May;24(6):707-716. doi: 10.1177/1359105316684204. Epub 2017 Jan 5.
Chronic refractory cough patients have persistent, unexplained, treatment-resistant symptoms. Very little is known about non-physiological processes underlying chronic refractory cough or patients' experience of the condition. In all, 14 patients participated in semi-structured interviews. Interviews were based on the comprehensive cognitive behavioural model and analysed thematically. Eight key themes emerged illustrating that the experience of the onset and persistence of chronic refractory cough is complex, often involving multiple interlinking factors. Themes highlighted the involvement of biological and psychological factors, and the prominent role of the social dimension in how the cough is experienced, perceived and managed. Implications for intervention development are discussed.
慢性难治性咳嗽患者具有持续、无法解释、治疗抵抗的症状。对于慢性难治性咳嗽的非生理过程或患者的病情体验，人们知之甚少。共有 14 名患者参与了半结构化访谈。访谈基于综合认知行为模型，并进行了主题分析。出现了 8 个主要主题，表明慢性难治性咳嗽的发作和持续存在的体验是复杂的，通常涉及多个相互关联的因素。主题强调了生物和心理因素的参与，以及社会层面在咳嗽的体验、感知和管理中所扮演的突出角色。讨论了对干预措施发展的影响。
