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孕妇急性胰腺炎的心理体验及应对策略:一项定性描述性研究。

Psychological experience and coping strategies of pregnant women with acute pancreatitis: a qualitative descriptive study.

机构信息

Division of Internal Medicine, Institute of Integrated Traditional Chinese and Western Medicine, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, People's Republic of China.

West China Center of Excellence for Pancreatitis, Institute of Integrated Traditional Chinese and Western Medicine, West China Hospital, Sichuan University, Chengdu, People's Republic of China.

出版信息

J Matern Fetal Neonatal Med. 2024 Dec;37(1):2374438. doi: 10.1080/14767058.2024.2374438. Epub 2024 Jul 7.

DOI:10.1080/14767058.2024.2374438
PMID:38973016
Abstract

BACKGROUND

To clarify the psychological experience and coping strategies in patients with acute pancreatitis in pregnancy (APIP) and propose interventional measures to improve pregnancy outcomes in these women. With an increasing trend of pregnant women in advanced ages and multiparous women, the incidence of APIP has significantly increased. Pregnancy accompanied by concurrent pancreatitis may subject these women to notable psychological stress, which is a factor that has been infrequently reported in previous studies.

METHODS

APIP patients were interviewed from December 2020 to June 2021. Data were collected through semi-structured interviews based on an outline, including six questions. The interviews were recorded and analyzed using qualitative content analysis until data saturation was reached.

RESULTS

Ten APIP patients were interviewed and four themes were identified, including excessive psychological burden, uncomfortable experience, urgent requirement for adequate medical resources, and importance of social support.

CONCLUSION

Patients with APIP suffer from significant psychological stress due to their medical conditions and management. They desired adequate medical resources and social support. The local health department, hospital administrators, and medical staff should understand the psychological requirements and provide adequate healthcare and education that are easily accessible to these APIP patients. In addition, family support should also be encouraged to promote APIP patients' recovery.

摘要

背景

为了阐明妊娠合并急性胰腺炎(APIP)患者的心理体验和应对策略,并提出干预措施,以改善这些女性的妊娠结局。随着高龄孕妇和多产妇的增加,APIP 的发病率显著增加。妊娠合并胰腺炎可能会使这些女性承受显著的心理压力,这是以往研究中较少报道的因素。

方法

2020 年 12 月至 2021 年 6 月对 APIP 患者进行访谈。通过基于大纲的半结构式访谈收集数据,包括 6 个问题。使用定性内容分析对访谈进行记录和分析,直到达到数据饱和。

结果

对 10 名 APIP 患者进行了访谈,确定了 4 个主题,包括过度的心理负担、不适体验、对充足医疗资源的迫切需求以及社会支持的重要性。

结论

APIP 患者因疾病状况和管理而承受着显著的心理压力。他们需要充足的医疗资源和社会支持。当地卫生部门、医院管理人员和医务人员应了解这些 APIP 患者的心理需求,并提供方便获取的医疗保健和教育。此外,还应鼓励家庭支持,以促进 APIP 患者的康复。

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J Matern Fetal Neonatal Med. 2024 Dec;37(1):2374438. doi: 10.1080/14767058.2024.2374438. Epub 2024 Jul 7.
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