Qualitative study on the experience and demand of endoscopic treatment for patients with pancreatic duct stones
10.3969/j.issn.1672-2159.2024.05.002
- VernacularTitle:胰管结石患者内镜治疗体验及需求的质性研究
- Author:
Hong TAO
1
,
2
;
Yu CAO
;
Jia-Yun CHEN
;
Qi ZHAO
;
Fang-Lei XU
;
Zhuan LIAO
Author Information
1. 200092 同济大学医学院
2. 200092 海军军医大学第一附属医院消化内科
- Keywords:
endoscopic therapy;
Pancreatic duct calculus;
Experience;
Needs;
Qualitative research
- From:
Modern Interventional Diagnosis and Treatment in Gastroenterology
2024;29(5):519-522,527
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the feelings and needs of patients with pancreatic duct stones undergoing endoscopic treatment,and to provide a basis for formulating personalized methods.Methods Purposive sampling method was used to select 15 patients who were treated in the Department of Gastroenterology of a Class Ⅲ Grade A hospital in Shanghai from February to April 2023 for semi-structured interviews.Colaizzi 7-step analysis method was used to code and summarize the data to refine the theme.Results The treatment experience and needs of patients were summarized into four themes.① Inadequate pain cognition and coping management before treatment:characterized by persistent or intermittent abdominal pain;The location of onset is hidden and easy to be misdiagnosed.Ineffective coping style;Affecting daily life and reducing the quality of life.② Changes of physiological comfort during the diagnosis and treatment period:abdominal soft tissue injury;Postoperative complications.③ Attitude changes after treatment:expectant treatment before diagnosis and treatment;Disappointment and doubt when expectations are not met;Belief after symptom improvement;④ Needs during treatment:professional guidance;Continuous nursing support.Conclusion Patients with pancreatic duct stones have insufficient knowledge of pain before endoscopic treatment.During the treatment,their attitudes may change and they may seek external support.Medical staff should pay attention to the dynamic changes of their physiological,psychological and social needs,and take corresponding measures to reduce pain,improve comfort and promote rehabilitation of patients.
