Annica Rosvall, MSc, RN, is Doctoral Student, Department of Care Science, Faculty of Health and Society, Malmö University, Malmö, Sweden.
Malin Axelsson, PhD, RN, is Associate Professor, Department of Care Science, Faculty of Health and Society, Malmö University, Malmö, Sweden.
Gastroenterol Nurs. 2021;44(6):392-402. doi: 10.1097/SGA.0000000000000569.
Although colonoscopy is a common examination, there is limited research focusing on how patients experience this procedure. It is important that a colonoscopy is tolerated, as it may lead to lifesaving diagnostics and treatment. This study aims to explore adult patients' experience of undergoing a colonoscopy regarding the time prior to, during, and after the procedure. This was a qualitative study with individual interviews (n = 24) and a purposeful sample that was analyzed using thematic analysis. The analysis revealed four themes. The first, "making up one's mind," describes how the participants gathered information and reflected emotionally about the forthcoming procedure. The hope of clarification motivated them to proceed. In the theme "getting ready," self-care was in focus while the participants struggled to follow the instructions and carry out the burdensome cleansing. The next theme, "going through," illuminates' experiences during the colonoscopy and highlights the importance of feeling involved and respected. The last theme, "finally over," is characterized by experiences of relief, tiredness, and a desire for clarity. The healthcare professionals' ability to meet the participants' needs is vital, given that the experiences are highly individual. These findings contribute to a variegated image of how patients experience the process of undergoing a colonoscopy.
虽然结肠镜检查是一种常见的检查，但针对患者在接受该检查过程中的体验，相关研究却十分有限。重要的是，患者需要能够耐受结肠镜检查，因为它可能带来救命的诊断和治疗。本研究旨在探索成年患者在接受结肠镜检查前、中、后阶段的体验。这是一项采用个体访谈（n=24）的定性研究，采用主题分析法进行分析。分析揭示了四个主题。第一个主题为“下定决心”，描述了参与者如何收集信息并对即将到来的检查进行情绪上的反思。他们希望通过检查获得澄清，这一希望促使他们继续进行。第二个主题为“准备”，重点是自我护理，同时参与者努力遵循说明并完成繁琐的清洁。下一个主题为“进行中”，阐明了结肠镜检查过程中的体验，并强调了让患者感到被关注和尊重的重要性。最后一个主题为“终于结束”，其特点是经历了如释重负、疲惫和对清晰的渴望。鉴于患者的体验具有高度的个体性，医护人员满足患者需求的能力至关重要。这些发现有助于形成一幅多样化的图景，展现患者在接受结肠镜检查过程中的体验。
