探索巴基斯坦拉合尔深静脉血栓患者的生活经历:关于医疗保健挑战、复原力和社会支持的定性现象学研究。

IF 2.4 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL BMJ Open Pub Date : 2024-11-14 DOI:10.1136/bmjopen-2023-081741
Ahtasham Zameer, Javeria Saleem, Naveed Yazdani, Rabia Fatima, Ruhma Binte Shahzad, Afia Zafar, Muhammad Ishaq, Muhammad Salman Butt
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引用次数: 0

摘要

研究目的本研究旨在探索和描述深静脉血栓(DVT)患者的心理和情感经历,并叙述这些经历对其日常生活的影响:数据收集采用现象学定性设计,对 18-70 岁的深静脉血栓患者进行半结构化深入访谈。采用解释归纳法对数据进行转录和分析,以确定新出现的主题:出现的五大主题如下结果:得出的五大主题如下:(1) 患者在处理疼痛和身体限制方面的经验和挑战;(2) 高额的自付护理费用是获得医疗保健服务的经济挑战;(3) 患者在社会隔离和缺乏情感支持方面的挣扎;(4) 面对疾病时的复原力和自力更生,以渡过难关;(5) 不完善的医疗保健系统和获得适当治疗的挑战:总之,深静脉血栓等慢性疾病会对患者的身体健康、生活方式和心理行为产生负面影响。因此,亟需将康复服务作为医疗保健系统的常规组成部分,从而促进自我管理策略,避免长期心理、情绪和行为问题带来的负担。
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Exploring the lived experiences of deep vein thrombosis patients in Lahore, Pakistan: a qualitative phenomenological study on healthcare challenges, resilience and social support.

Objective: This study aimed to explore and describe the lived psychological and emotional experiences of sufferers of deep vein thrombosis (DVT) and to narrate the effect of those experiences on their daily lives.

Design, setting and participants: For data collection, a phenomenological qualitative design was used using semistructured, in-depth interviews of patients with DVT aged 18-70 years. Data were transcribed and analysed using the interpretative inductive approach to identify emergent themes.

Results: The five major themes emerged were as follows: (1) experiences and challenges of managing pain and physical limitations in patients; (2) the high out-of-pocket cost of care as a financial challenge to access healthcare; (3) the struggle of patients with social isolation and lack of emotional support; (4) resilience and self-reliance in the face of illness for navigation through life and (5) inadequate healthcare system and challenges in accessing proper treatment.

Conclusions: Conclusively, chronic disease such as, DVT, negatively impacts the life of its sufferers in terms of their physical health, lifestyle and psychological behaviour. There is a high need to introduce rehabilitative services as a regular part of healthcare system, so that self-management strategies are promoted and the burden of long-term psychological, emotional and behaviour problems can be avoided.

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来源期刊
BMJ Open
BMJ Open MEDICINE, GENERAL & INTERNAL-
CiteScore
4.40
自引率
3.40%
发文量
4510
审稿时长
2-3 weeks
期刊介绍: BMJ Open is an online, open access journal, dedicated to publishing medical research from all disciplines and therapeutic areas. The journal publishes all research study types, from study protocols to phase I trials to meta-analyses, including small or specialist studies. Publishing procedures are built around fully open peer review and continuous publication, publishing research online as soon as the article is ready.
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