Department of Nursing, Affiliated Hospital of Nantong University, Nantong, China.
School of Nursing, Yangzhou University, Yangzhou, Jiangsu, China.
BMJ Open. 2022 Jun 29;12(6):e060107. doi: 10.1136/bmjopen-2021-060107.
This study aimed to better understand the psychological experiences of inpatients with acute pancreatitis (AP).
We used a qualitative descriptive study design to capture patients with AP's thoughts, feelings and behavioural responses.
We conducted this study in the gastroenterology departments of two tertiary hospitals in Eastern China.
We used a convenience sampling approach to recruit 28 inpatients with AP from 1 August 2020 to 25 December 2020. The interviews were audio-recorded and transcribed verbatim. We employed an adapted version of Colaizzi's qualitative analysis approach to examine the data.
We extracted three themes and eight subthemes regarding the participants' psychological experiences: (1) feeling that their disease is unpredictable (the inability to recognise the disease, uncertainty about the illness and fear of progression or recurrence); (2) various kinds of stress and support (feeling different degrees of stress, perceiving social support, seeking and craving social support); and (3) developing self-adaptability in the disease process (treating one's illness negatively or positively).
Cognitive and emotional responses vary in patients with AP during hospitalisation. Moreover, patients with distinct conditions demonstrate significant differences in their responses and coping mechanisms. Healthcare providers need to mobilise social support and formulate comprehensive intervention strategies according to patients' individual characteristics.
本研究旨在更好地了解急性胰腺炎（AP）住院患者的心理体验。
我们采用定性描述性研究设计，以捕捉 AP 患者的思想、感受和行为反应。
我们在中国东部的两家三级医院的胃肠科进行了这项研究。
我们采用便利抽样方法，于 2020 年 8 月 1 日至 12 月 25 日期间招募了 28 名急性胰腺炎住院患者。访谈进行了录音，并逐字记录。我们采用改编版的 Colaizzi 定性分析方法来检查数据。
我们从参与者的心理体验中提取了三个主题和八个子主题：（1）感觉疾病不可预测（无法识别疾病、对疾病的不确定性以及对进展或复发的恐惧）；（2）各种压力和支持（感到不同程度的压力、感知社会支持、寻求和渴望社会支持）；（3）在疾病过程中发展自我适应性（消极或积极地对待自己的疾病）。
住院期间，AP 患者的认知和情绪反应不同。此外，不同病情的患者在反应和应对机制上存在显著差异。医疗保健提供者需要根据患者的个体特征调动社会支持并制定全面的干预策略。
