自身身体的外来运动：接受导管消融治疗时保持清醒的患者体验——一项现象学研究。
Foreign movement in one's own body: Patients' experiences of being awake while treated with catheter ablation-a phenomenological study.
机构信息
Department of Cardiology, Skaraborgs Hospital Skövde, Skövde, Sweden.
Faculty of Caring Sciences, Work Life and Social Welfare, University of Borås, Borås, Sweden.
出版信息
Int J Qual Stud Health Well-being. 2023 Dec;18(1):2238972. doi: 10.1080/17482631.2023.2238972.
PURPOSE
To address the consequences of living with supraventricular tachycardia and to improve the quality of treatment, there is a need to highlight patient experiences of treatment with catheter ablation. Therefore, the aim was to describe the phenomenon of catheter ablation, as it is experienced by patients being treated awake.
METHODS
A descriptive design was applied based on a reflective lifeworld research founded on phenomenological epistemology. Interviews were conducted between December 2021 and Mars 2022 with seven women and five men, three to twelve months after they underwent catheter ablation.
RESULTS
Patients undergoing catheter ablation while awake during treatment, which includes experiences of relying on others expertise, being actively passive, and striving to be cured. It entails experiences of having a foreign object moving in one's body and heart and can be endured through strategies of mainly shifted one's mental focus.
CONCLUSIONS
The effort of undergoing a catheter ablation procedure is worthwhile as the confirmation of a physical curable condition that opens a future with possibilities instead of the obstacle in daily life that tachycardia entails. For the patients, an informative and caring conversation was needed that would have provided the support they lacked before and during the ablation.
目的
为了应对室上性心动过速带来的后果，提高治疗质量，有必要强调患者对导管消融治疗的体验。因此，本研究旨在描述导管消融治疗的现象，即清醒状态下接受治疗的患者的体验。
方法
本研究采用描述性设计，基于现象学认识论的反思性生活世界研究。研究于 2021 年 12 月至 2022 年 3 月期间进行，对 7 名女性和 5 名男性进行了访谈，这些患者在导管消融治疗后 3 至 12 个月接受了访谈。
结果
患者在清醒状态下接受导管消融治疗时，会体验到依赖他人的专业知识、被动而积极以及努力治愈的感觉。这涉及到身体内有异物移动和心脏跳动的感觉，通过主要转移注意力的策略来忍受。
结论
进行导管消融治疗是值得的，因为它能确认一种可通过物理治疗的病症，从而带来充满可能性的未来，而不是像心动过速那样成为日常生活中的障碍。对于患者来说，他们需要进行一次信息丰富且关怀备至的谈话，这将为他们提供治疗前和治疗期间所缺乏的支持。
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