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探索烟雾病患者的真实心理体验:一项定性分析。

Exploring the Real Mental Experience of Patients with Moyamoya Disease: A Qualitative Analysis.

作者信息

Li Meng, Zhang Wenling, Zhang Ning, Li Shen, Pan Zhongjie, Xiong Xiaoyun, Li Qiong, Wei Junfan, Li Huawei

机构信息

Nursing Department, The Third People's Hospital of Henan Province, Zhengzhou, People's Republic of China.

Operation Department, Henan Provincial People's Hospital, Zhengzhou, People's Republic of China.

出版信息

Patient Prefer Adherence. 2025 Jul 7;19:1937-1950. doi: 10.2147/PPA.S527947. eCollection 2025.

Abstract

PURPOSE

The objective of this study was to explore the real mental experiences of moyamoya disease patients.

PATIENTS AND METHODS

A phenomenological research method was used, and participants were selected by purposive sampling from two tertiary care hospitals in Henan Province, China. Semi-structured in-depth interviews were conducted with 17 patients diagnosed as moyamoya disease face-to-face. Colaizzi's method was used to analyze the collected data.

RESULTS

Five major themes were identified through phenomenological analysis: (1) cognitive and emotional experiences, including fear, denial, and evolving self-perception; (2) psychological adjustment, featuring active coping strategies and reliance on social support; (3) impact on quality of life, including challenges in daily functioning and interpersonal relationships; (4) information needs and seeking, highlighting patients' difficulties accessing and understanding health information; and (5) long-term care and support, encompassing extended rehabilitation needs, psychological counseling, and community and family involvement. These findings provide an in-depth account of the real mental experiences of patients with Moyamoya disease and reveal their psychological struggles, adaptive efforts, and care expectations.

CONCLUSION

This study reveals the complex psychological burden experienced by Chinese patients with moyamoya disease, including persistent emotional distress, evolving coping strategies with disease progression, and unsatisfied needs for social and informational support. These findings underscore the need to incorporate psychological care (eg, early screening, emotional counseling, and caregiver engagement) into routine moyamoya disease management.

摘要

目的

本研究的目的是探索烟雾病患者的真实心理体验。

患者与方法

采用现象学研究方法,通过目的抽样从中国河南省的两家三级甲等医院选取参与者。对17例确诊为烟雾病的患者进行了面对面的半结构式深入访谈。采用Colaizzi法对收集到的数据进行分析。

结果

通过现象学分析确定了五个主要主题:(1)认知和情感体验,包括恐惧、否认和不断变化的自我认知;(2)心理调适,特点是积极的应对策略和对社会支持的依赖;(3)对生活质量的影响,包括日常功能和人际关系方面的挑战;(4)信息需求与寻求,突出患者获取和理解健康信息的困难;(5)长期护理与支持,包括长期康复需求、心理咨询以及社区和家庭的参与。这些发现深入阐述了烟雾病患者的真实心理体验,揭示了他们的心理挣扎、适应努力和护理期望。

结论

本研究揭示了中国烟雾病患者所经历的复杂心理负担,包括持续的情绪困扰、随着疾病进展而不断变化的应对策略以及对社会和信息支持的未满足需求。这些发现强调了将心理护理(如早期筛查、情绪咨询和照顾者参与)纳入烟雾病常规管理的必要性。

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