成年人慢性咳嗽相关体验：实证研究混合方法。
Health-related experiences of adults with chronic cough: Empirical research mixed methods.
机构信息
Regenstrief Institute, Inc., Indianapolis, IN, USA.
Indiana University, Indianapolis, IN, USA.
出版信息
Nurs Open. 2023 Jun;10(6):4055-4063. doi: 10.1002/nop2.1665. Epub 2023 Feb 23.
AIM
To describe adults' health-related experiences with chronic cough.
DESIGN
Survey and interviews.
METHODS
Participants completed questionnaires and interviews, to explore chronic cough's impact and management.
DATA SOURCES
Patients aged 18-85 years with at least three cough-related encounters within 56-120 days.
RESULTS
Forty-one patients were surveyed. Mean cough severity was 4.5 (scale 0-9). Chronic cough-related problems included embarrassment (66%), fatigue (56%), and anxiety or depression (49%). Testing was judged insufficient by 44%. Only 28% were satisfied with treatment; 20% reported abandoning treatment due to ineffectiveness. Interview themes (N = 30) included frustration with diagnostic uncertainty, and feelings of therapeutic futility. Some reported psychological distress. Work and socializing were commonly disrupted.
CONCLUSION
Diagnostic uncertainty, perceived limitations of testing, and treatment failures suggest needs for better approaches to evaluating and treating chronic cough. Special attention to identifying and addressing mental health issues appears warranted.
目的
描述成年人与慢性咳嗽相关的健康体验。
设计
调查和访谈。
方法
参与者完成了问卷调查和访谈，以探讨慢性咳嗽的影响和管理。
数据来源
18-85 岁的患者，在 56-120 天内至少有 3 次与咳嗽相关的就诊经历。
结果
对 41 名患者进行了调查。咳嗽严重程度平均为 4.5（0-9 级量表）。慢性咳嗽相关问题包括尴尬（66%）、疲劳（56%）和焦虑或抑郁（49%）。44%的患者认为检查不足。只有 28%的患者对治疗满意；20%的患者因无效而放弃治疗。访谈主题（N=30）包括对诊断不确定性的沮丧，以及对治疗效果的失望感。一些人报告存在心理困扰。工作和社交活动经常受到干扰。
结论
诊断的不确定性、对检查局限性的认知，以及治疗失败表明需要更好的方法来评估和治疗慢性咳嗽。特别关注识别和处理心理健康问题似乎是必要的。
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