Qualitative study on coping experience of abdominal distension in elderly patients with chronic heart failure and type 2 diabetes mellitus
10.3760/cma.j.cn211501-20240811-02167
- VernacularTitle:老年慢性心力衰竭合并2型糖尿病患者腹胀应对体验的质性研究
- Author:
Yue ZHANG
1
;
Qin LI
;
Kaili PAN
;
Lu ZHU
;
Yan LI
;
Wenling CHEN
;
Tian FENG
Author Information
1. 广西中医药大学护理学院，南宁 530001
- Publication Type:Journal Article
- Keywords:
Heart failure;
Qualitative research;
Comorbidity;
Diabetes mellitus;
Bloating
- From:
Chinese Journal of Practical Nursing
2025;41(17):1337-1342
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the real experience of elderly patients with chronic heart failure and type 2 diabetes in dealing with abdominal distension, and to provide a basis for medical staff to formulate targeted intervention strategies.Methods:Using the purpose sampling method, semi-structured interview was conducted on elderly patients with chronic heart failure and type 2 diabetes who were admitted to Ruikang Hospital Affiliated to Guangxi University of Chinese Medicine from April 2024 to June 2024. Extract themes used Colaizzi 7-step analysis method.Results:There were 6 males and 8 femdes, aged 60-80 years old. A total of 4 themes and 10 sub-themes were extracted, namely somatic symptom distress (obvious related symptom clusters, aggravation of basic disease symptoms), emotional response differentiation (weakening of emotional control, positive psychological derivation), diversified coping strategies (negative coping included self-neglect and avoidance of medical treatment, positive coping included active medical treatment and self-adjustment), coping difficulties (lack of disease knowledge, contradiction of coping strategies, urgent need for optimization of TCM diagnosis and treatment, imperfect external support system).Conclusions:Medical staff should pay attention to the physical and mental feelings of elderly patients with chronic heart failure and type 2 diabetes in the process of abdominal distension coping, and provide targeted health guidance and comprehensive nursing, so as to reduce the physical symptoms of patients and promote their physical and mental health.
