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在 COVID-19 大流行期间与心力衰竭共存:一种解释性现象学分析。

Living with Heart Failure during the COVID-19 Pandemic: An Interpretative Phenomenological Analysis.

机构信息

Cardiology Center Monzino IRCCS, Milan, Italy.

University of Milan-Bicocca, Monza, Italy.

出版信息

Clin Nurs Res. 2021 Sep;30(7):1071-1078. doi: 10.1177/10547738211016614. Epub 2021 May 19.

Abstract

This study aimed to explore lived experience of patients with heart failure (HF) during the COVID-19 pandemic. A qualitative study was conducted using an interpretative phenomenological analysis (IPA). Data collection performed in March-May 2020, using in-depth, semi-structured interviews on a purposive sample. Data were analyzed according to the IPA methodology, and triangulation, bracketing, journaling, and member checking were used to assure rigor. 14 patients with HF were enrolled, and three main themes described their lived experience during the COVID-19 pandemic: Vulnerability, Hanging in the balance, and Coping strategies. These people felt particularly vulnerable to the novel virus and experienced uncertainty due to hospital organization changes. Because of this, they felt like they were hanging in the balance, experiencing various negative feelings. Nevertheless, they managed to deal with this challenging situation by implementing some peculiar coping strategies. The COVID-19 represents a significant challenge for patients with HF, impacting significantly on their lives.

摘要

本研究旨在探讨心力衰竭(HF)患者在 COVID-19 大流行期间的生活体验。采用解释性现象学分析(IPA)方法进行定性研究。数据收集于 2020 年 3 月至 5 月期间进行,采用目的抽样的深入半结构化访谈。根据 IPA 方法对数据进行分析,并采用三角测量、括号、日记和成员检查来确保严谨性。纳入了 14 名 HF 患者,描述了他们在 COVID-19 大流行期间的生活体验的三个主要主题:脆弱性、平衡状态和应对策略。这些人对新型病毒感到特别脆弱,并因医院组织变革而感到不确定。因此,他们感到自己处于平衡状态,经历了各种负面情绪。然而,他们通过实施一些特殊的应对策略来应对这种具有挑战性的情况。COVID-19 对 HF 患者来说是一个重大挑战,对他们的生活产生了重大影响。

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