Self-care experience after esophageal covered stent placement in elderly patients with esophageal fistula: a qualitative study
10.3760/cma.j.cn115682-20201102-06030
- VernacularTitle:老年食管瘘患者食管覆膜支架置入术后自我照护体验的质性研究
- Author:
Zhiyun MIN
1
;
Chunxia LI
Author Information
1. 郑州大学第一附属医院介入科，郑州 450052
- Keywords:
Aged;
Esophageal fistula;
Esophageal covered stent;
Self-care;
Qualitative research
- From:
Chinese Journal of Modern Nursing
2021;27(23):3143-3147
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the real experience of elderly patients with esophageal fistula after esophageal covered stent placement.Methods:From July 2019 to April 2020, purpose sampling was used to selected 13 elderly patients with esophageal fistula who were revisited after esophageal covered stent placement in the Intervention Therapy Department of the First Affiliated Hospital of Zhengzhou University for the semi-structured interview. The Colaizzi 7-step analysis method was used to analyze the interview data, integrate, summarize and refine the theme.Results:The inner experience of self-care of elderly patients with esophageal fistula after esophageal covered stent placement were summarized into 4 themes: diversification of negative emotions (being worried about complications, financial pressure, low self-esteem and loneliness) ; poor compliance behavior outside the hospital; insufficient self-care ability; the single source of support (insufficient family support, desiring for social support) .Conclusions:Elderly patients with esophageal fistula after esophageal covered stent placement generally have a variety of negative emotions and lack effective guidance and family social support. Medical and nursing staff should strengthen the health education and psychological counseling of patients, and medical institutions should accelerate the training of elderly nursing personnel and establish a mature elderly nursing system.
