Qualitative research on the self-management dilemma in young and middle-aged patients with recurrent acute pancreatitis
10.3760/cma.j.cn115682-20230713-00036
- VernacularTitle:中青年复发性急性胰腺炎患者自我管理困境的质性研究
- Author:
Xuemei ZHANG
1
;
Yanjie GUO
;
Xue DANG
;
Conghui LIU
;
Mengtong ZHANG
;
Xiaoqing REN
;
Xue DONG
Author Information
1. 长春中医药大学护理学院，长春 130117
- Keywords:
Acute pancreatitis;
Recurrence;
Young and middle-aged;
Self-management;
Dilemma;
Qualitative research
- From:
Chinese Journal of Modern Nursing
2024;30(6):743-748
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the causes of self-management dilemma in young and middle-aged patients with recurrent acute pancreatitis from the perspectives of nurses, patients and patient caregivers, in order to provide reference for developing self-management intervention plans that meet the needs of patients.Methods:Using the descriptive phenomenological methods from qualitative research, 15 patients with recurrent acute pancreatitis, six nurses and nine caregivers from the Hepatobiliary Pancreatic Surgery Ward of the Second Norman Bethune Hospital of Jilin University from November 2021 to December 2022 were selected for semi-structured in-depth interviews. The Colaizzi 7-step method was used to analyze and refine the theme.Results:Two main themes were extracted to explain the difficulties in self-management of young and middle-aged patients with recurrent acute pancreatitis. The internal reasons for the self-management dilemma included cognitive biases in the importance of self-management, limited access to self-management knowledge and negative attitudes towards self-behavior management, and the external reasons for self-management dilemma included insufficient inclusiveness of the external environment towards diseases, fear of disease progression, multiple burdens caused by diseases and busy work.Conclusions:Young and middle-aged patients with recurrent acute pancreatitis experience multiple difficulties in the process of self-management. Clinical medical staff should explore self-management models with contemporary characteristics, enhance patient self-management ability and quality of life, reduce disease recurrence rate.
