Qualitative study on illness experience of patients with autologous liver transplantation based on social ecological theory
10.3760/cma.j.cn211501-20230612-01423
- VernacularTitle:基于社会生态系统理论的自体肝移植患者患病体验的质性研究
- Author:
Zhibin WEI
1
;
Qian WU
;
Ping ZHAO
;
Yang ZHANG
;
Tiemin JIANG
;
Yu JIANG
;
Meixin WANG
Author Information
1. 新疆医科大学护理学院,乌鲁木齐 830000
- Keywords:
Qualitative research;
Autogenous liver transplantation;
Illness experience;
Social ecosystem theory
- From:
Chinese Journal of Practical Nursing
2023;39(34):2701-2706
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand the illness experience of patients with autologous liver transplantation and to lay the foundation for the formulation of targeted nursing measures.Methods:The objective sampling method was used to select the patients with autologous liver transplantation who were hospitalized in the hepatochydatid area of the First Affiliated Hospital of Xinjiang Medical University from September 2022 to March 2023 as the research objects. Based on the social ecosystem theory, the interview outline was formulated and semi-structured interview was conducted. After interviewing 15 people, the data was saturated. Colaizzi ′s 7-step phenomenological data analysis method was used to sort out and analyze the data. Results:There were three themes in body and mind experience of autologous liver transplantation patients: microsystem including changes in body function and mental state, meso-system including social adjustment and social dysfunction, macro system including limited access to care and lack of information support.Conclusions:The quality of life for patients improves after autologous liver transplantation compared to before surgery, but there are still issues within the social ecosystem. Medical staff should develop targeted nursing measures based on each patient ′s illness experience, improve their physical and mental functions and maintain stability in their social ecosystem.