A qualitative study on psychological experience of Stanford Type A aortic dissection patients during hospitalization
10.3761/j.issn.0254-1769.2024.19.009
- VernacularTitle:A型主动脉夹层患者住院期间心理体验的质性研究
- Author:
Jin ZHU
1
;
Rong ZHANG
;
Lili ZHANG
;
Wenxuan TAN
Author Information
1. 510515 广州市 南方医科大学护理学院
- Keywords:
Aortic Dissection;
Stanford Type A;
Psychological Experience;
Qualitative Study;
Nursing Care
- From:
Chinese Journal of Nursing
2024;59(19):2369-2374
- CountryChina
- Language:Chinese
-
Abstract:
Objective This study aims to explore the psychological experiences of patients with Stanford Type A aortic dissection during different stages of their hospital stay.Methods Using purposive sampling,10 patients treated for Stanford Type A aortic dissection from May to August 2022 at a tertiary A general hospital in Guangdong Province were selected as study subjects.Semi-structured interviews were conducted,and the data were analyzed using interpretative phenomenological analysis to extract themes.Results 3 primary themes and 14 sub-themes were identified.1.During the diagnosis phase,patients experienced increased uncertainty,with a strong need for information and emotional support.This included fear of the emergency environment,enhanced sense of the unknown,a desire for attention from medical staff,and hope to have surgery soon.2.During the treatment phase,patients had cognitive bias and low treatment compliance,including fear of monitor alarms,rejection of medical devices and tubes,a sense of lost dignity during treatment,feelings of helplessness due to physical restrictions,and despair over prolonged ICU stays.3.In the recovery phase,patients anticipated and were worried about significant life changes,including a shift in mindset to actively face future life,feelings of guilt towards family members,concerns about artificial blood vessel implants,anxiety about social participation,and worries about disease self-management and prognosis.Conclusion The psychological experiences and needs of patients with Stanford Type A aortic dissection vary during different stages of their hospital stay.During the diagnosis phase,medical staff should strengthen information and emotional support;during the treatment phase,they should enhance communication and psychological counseling;and during the recovery phase,medical staff should improve patients'disease self-management skills,enhance their level of social support,and guide the awakening of positive psychological experiences.
