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中国肺移植受者幸福感的体验与理解:一项现象学质性研究

Experiences and Understanding of Well-Being in Lung Transplant Recipients in China: A Phenomenological Qualitative Study.

作者信息

Song Liqin, Liu Chunqin, Zhou Ying, Ju Chunrong, Luo Qing, Cheng Jing, Huang Danxia, Chen Huifang, Chen Jiani, Tan Wenying, Hu Xinyang, Liu Yimeng, Smith Graeme D

机构信息

School of Nursing, Guangzhou Medical University, Guangzhou, Guangdong, China.

Department of Nursing, First People's Hospital of Foshan, Foshan, Guangdong, China.

出版信息

J Adv Nurs. 2025 May;81(5):2535-2545. doi: 10.1111/jan.16479. Epub 2024 Sep 27.

DOI:10.1111/jan.16479
PMID:39333017
Abstract

AIM

To explore lung transplant recipients' perceptions of well-being when they are facing uncertain health outcomes, including identifying the factors to enhance well-being.

DESIGN

A qualitative descriptive study.

METHODS

A purposive sample of 11 lung transplantation recipients who were hospitalised in the Department of Organ Transplantation of a tertiary university hospital was recruited in China. A descriptive qualitative study using thematic analysis of semistructured interviews. Themes were organised within a PERMA model. Colaizzi's qualitative analysis was used to analyse the data.

RESULTS

Five major themes and 11 categories were generated: (1) mindset shift [optimism and hope and living in the moment]; (2) meaning in life [self-care, priority change and value realisation]; (3) health benefits [improved health and behavioural changes]; (4) perceived support [support from family, the health care team and others]; (5) unmet support needs.

CONCLUSION

Lung transplant recipients could perceive well-being from five aspects that caused significantly favourable transformation across a variety of aspects in patients' lives. These findings may support nursing staff when caring for this patient group, making them aware of multifaceted nature of well-being. They could offer insight into potential pathways for the development of nurse-led tailored interventions, based on specific elements of PERMA model.

IMPACT

This work adds to a growing body of knowledge about well-being amongst lung transplant patients. These findings may support nursing staff when caring for this patient group, making them aware of multifaceted nature of well-being and illustrating factors that promote positive well-being in this group, based on specific elements of PERMA model.

REPORTING METHOD

This study followed the Consolidated Criteria for Reporting Qualitative Research checklist.

PATIENT OR PUBLIC CONTRIBUTION

Two lung transplant recipients were involved in the early phases of this study. They helped in formulating the interview outline.

摘要

目的

探讨肺移植受者在面对不确定的健康结果时对幸福感的认知,包括确定增强幸福感的因素。

设计

一项定性描述性研究。

方法

在中国一所三级大学医院的器官移植科,选取11名住院的肺移植受者作为目的抽样样本。采用对半结构化访谈进行主题分析的描述性定性研究。主题在积极心理学的PERMA模型中进行组织。使用柯莱齐的定性分析方法对数据进行分析。

结果

生成了五个主要主题和11个类别:(1)心态转变[乐观、希望和活在当下];(2)生活意义[自我护理、优先事项改变和价值实现];(3)健康益处[健康改善和行为改变];(4)感知到的支持[来自家人、医护团队和其他人的支持];(5)未满足的支持需求。

结论

肺移植受者可从五个方面感知幸福感,这些方面在患者生活的各个方面都引起了显著的积极转变。这些发现可能有助于护理人员护理该患者群体,使他们意识到幸福感的多面性。基于PERMA模型的特定要素,可为以护士为主导的定制干预措施的开发提供潜在途径的见解。

影响

这项工作增加了关于肺移植患者幸福感的知识体系。这些发现可能有助于护理人员护理该患者群体,使他们意识到幸福感的多面性,并根据PERMA模型的特定要素说明促进该群体积极幸福感的因素。

报告方法

本研究遵循定性研究报告的综合标准清单。

患者或公众贡献

两名肺移植受者参与了本研究的早期阶段。他们帮助制定了访谈提纲。

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