phenomenological study

现象学研究
  • 文章类型: Journal Article
    目的:这项研究的目的是评估2月6日地震后在灾区工作的护士的心理社会困难和生活经历,以现象学方法为中心的地震。
    背景:在地震等自然灾害之后,护士在提供身体和社会心理支持方面发挥着重要作用。因此,护士在这一领域的经验对于支持他们和帮助灾难幸存者都是必要的。
    方法:在本研究中,其中使用了现象学研究方法,在2024年1月至2月期间,通过Whatsapp移动应用程序对在2月6日Kahramanmaraas地震期间提供医疗保健服务的18名护士进行了半结构化深度访谈.采用雪球抽样法达到样本组。访谈继续进行,直到数据达到饱和。所有采访都是录音,然后转录。采用专题分析法对数据进行分析。该研究是根据COREQ检查表进行和报告的。
    结果:数据分析揭示了两个主题(地震造成的心理和社会困难,作为护士的创伤压力和应对经历)和五个子主题(社会困难,心理障碍,创伤性事件,反应和应对)。
    结论:作为研究的结果,确定提供医疗保健服务的护士在2月6日以Kahramanmaraas为中心的地震中所经历的创伤压力状况对社会心理产生了负面影响。确定护士很难应对他们所经历的创伤压力情况。结论2月6日地震对护士造成二次创伤。
    OBJECTIVE: The aim of this study was to evaluate the psychosocial difficulties and life experiences of nurses working in the disaster area following the earthquake on February 6, Kahramanmaraş centered earthquake with a phenomenological approach.
    BACKGROUND: After natural disasters such as earthquakes, nurses play a significant role in providing both physical and psychosocial support. Therefore, the experiences of nurses in this field are necessary both to support them and to assist disaster survivors.
    METHODS: In this study, in which the phenomenological research method was used, semi-structured in-depth interviews with 18 nurses who provided health care services during the February 6 Kahramanmaraş earthquake were conducted between January and February 2024 via Whatsapp mobile application. Snowball sampling method was used to reach the sample group. Interviews continued until data saturation was achieved. All interviews were audio recorded and then transcribed. The data were analyzed using thematic analysis. The study was conducted and reported according to the COREQ checklist.
    RESULTS: Data analysis revealed two themes (psychological and social difficulties caused by the earthquake, traumatic stress and coping experiences as a nurse) and five sub-themes (social difficulties, psychological difficulties, traumatic events, reactions and coping).
    CONCLUSIONS: As a result of the study, it was determined that nurses providing health care services were negatively affected psychosocially by the traumatic stress situations they experienced in the earthquake centered in Kahramanmaraş on February 6. It was determined that nurses had great difficulty in coping with the traumatic stress situations they experienced. It was concluded that the February 6 earthquake caused secondary traumatization in nurses.
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  • 文章类型: Journal Article
    痴呆症对家庭及其照顾者来说可能是压倒性的。非正式护理是在非裔美国人社区提供痴呆症护理的一种普遍模式,然而,在非洲裔美国人社区中,照顾对非正式或家庭照顾者的影响是繁重的.这项研究旨在描述非裔美国人痴呆症患者(PLWD)的非正式照顾者的生活经历,以了解他们对痴呆症和痴呆症护理的看法,护理人员支持需求,和服务需求。解释性现象学定性调查指导本研究了解护理人员的经验和需求。社区中的10名非裔美国人PLWD家庭照顾者参加了这项研究。数据是通过深入访谈和日记研究方法收集的,以记录和解释护理人员的经验。数据分析基于内容分析的程序。深入访谈中出现了四个主要主题:照顾者的负担,家族主义,缺乏信息和社区资源,以及对文化上适当的社区资源的愿望和需要。三角日记条目数据补充了类似主题的深入访谈。这项研究强调了PLWD的非裔美国人非正式护理人员如何在痴呆症护理中面临各种护理需求和挑战,包括缺乏文化上适当的社区资源和信息。研究表明,非裔美国人对家庭主义的文化信仰是他们照顾经验和应对策略的重要方面。这些研究结果为各种利益相关者制定具有文化针对性的干预措施和计划提供了有用的基础,以支持非裔美国人的非正式照顾者及其患有痴呆症的家庭成员。
    Dementia can be overwhelming to families and their caregivers. Informal caregiving is a widespread mode of providing dementia care in African American communities, yet impact of caregiving on informal or family caregivers in African American communities is burdensome. This study aimed to describe the lived experiences of informal caregivers of African American People Living with Dementia (PLWD) to understand their perceptions of dementia and dementia care, caregiver support needs, and service needs. Interpretive phenomenological qualitative inquiry guided this study to understand caregivers\' experiences and needs. Ten family caregivers of African American PLWD in the community participated in this study. Data were collected through in-depth interviews and a diary study approach to document and interpret caregivers\' experiences. The data analysis was based on procedures of content analysis. Four major themes emerged from the in-depth interviews: caregiver burden, familism, lack of information and community-based resources, and desire and need for culturally appropriate community-based resources. Triangulated diary entry data complemented the in-depth interviews with similar themes. This study highlights how African American informal caregivers of PLWD face various caregiving needs and challenges in dementia care including lack of culturally appropriate community resources and information. The study illustrates that African American cultural beliefs of familism are significant aspects of their caregiving experience and their coping strategies. These study results provide a useful foundation for various stakeholders to develop culturally targeted interventions and programs to support African American informal caregivers and their family members with dementia.
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  • 文章类型: Journal Article
    由于2019年冠状病毒病(COVID-19)大流行,全球数百万人丧生,包括印度尼西亚。一些COVID-19患者可能会出现严重的缺氧症状,而有些可能是危重病,并被送往重症监护病房(ICU)生存。
    本研究旨在了解处于危急状态的COVID-19ICU幸存者的生活经历。
    这项现象学研究对9名COVID-19ICU幸存者参与者进行了半结构化访谈。使用Colaizzi方法进行数据分析。
    COVID-19ICU幸存者的生活经历现象分为七个子主题和四个主要主题:在无助状态中挣扎,从内部培养积极的精神,扩大护士和医生的支持,加强与家庭和全能者的联系。这些主题表明了增强力量和能量并提高身体免疫系统所需的社会心理支持的基本方面,这对于在危急条件下捍卫生命至关重要。
    这项研究产生的新见解显示在四个主要主题中,这在提高愈合过程和使患者生存的关键条件发挥了重要作用。因此,这项研究建议心理社会支持对危重病人的重要性,涉及家庭和他们重要的其他人,促进病人和上帝之间的联系。
    UNASSIGNED: Due to the coronavirus disease 2019 (COVID-19) pandemic, millions of lives were lost globally, including in Indonesia. Some patients with COVID-19 may experience severe symptoms of hypoxia, while some may be critically ill and admitted to the intensive care unit (ICU) for survival.
    UNASSIGNED: This study aimed to understand the lived experiences of COVID-19 ICU survivors who were in a critical condition.
    UNASSIGNED: This phenomenological study used semistructured interviews with nine participants who were COVID-19 ICU survivors. Data analysis was performed using the Colaizzi approach.
    UNASSIGNED: The phenomenon of the lived experiences of COVID-19 ICU survivors was presented in seven subthemes and four main themes: struggling in a state of helplessness, fostering a positive spirit from within, amplifying the support from nurses and doctors, and strengthening the connection with family and the Almighty. These themes indicated the essential aspects of psychosocial support needed to boost strength and energy and elevate the body\'s immune system, which is crucial to champion life through critical conditions.
    UNASSIGNED: The new insight resulting from the study is shown in the four main themes, which play a significant role in elevating the healing process and enabling patients to survive critical conditions. Therefore, this study recommends the importance of psychosocial support for patients with critical conditions, which involves family and their significant others, and facilitating the connection between the patient and God.
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  • 文章类型: Journal Article
    This paper examines how older adults who participated in an online photovoice-based group intervention program reported their experience. In a qualitative-phenomenological study, in which 13 older-adult people participated, data were collected through semi-structured in-depth interviews and analyzed through content analysis. The findings point to three central themes: a) Challenges-technical difficulties, difficulties in finding a subject for photography, investing time in photography, and an emotional-intellectual effort to put their experience into photography; b) Growth: New knowledge and skills-acquiring new knowledge, acquiring skills, experiencing skills regardless of age, and empowerment; c) Meaning-reflexivity, the ability to project feelings onto images, connection to the outside world, mindfulness, ability to choose, creativity, and critical consciousness. The findings share the way in which the use of creative visual engagement with photography contributed to coping with various challenges and enabled various gains within the process among the older-adult participants.
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  • 文章类型: Journal Article
    COVID-19大流行在全球范围内导致了严重的疾病。已确认约6.555亿例病例,包括660万人死亡。极端病例在重症监护病房(ICU)中濒临死亡。这项研究探讨了幸存者在感染危重时濒临死亡的经历。
    采用描述性现象学研究。数据是通过对来自泰国东北部的14名参与者的深入访谈收集的。采用Creswell策略进行内容分析。
    出现了四个主题:(a)焦虑和害怕独自死亡,(b)环境混乱,(c)利用泰国佛教教义应对,(d)从死亡的边缘回来。此外,病人感到非常感谢,并感谢医疗团队。
    ICU患者经历的创伤包括身体和心理困扰,应对策略,以及对文化意识的理解。
    应对ICU患者实施心理和文化上一致的护理。
    The COVID-19 pandemic has resulted in severe illnesses worldwide. Around 655.5 million cases were having been confirmed, including 6.6 million deaths. The extreme cases experienced near death in the intensive care unit (ICU). This study explored the survivors\' experience of being near death while critically ill with the infection.
    A descriptive phenomenological study was employed. Data were collected through in-depth interviews with 14 participants from Northeastern Thailand. Content analysis was applied by using Creswell\'s strategy.
    Four themes emerged: (a) anxiety and fear of dying alone, (b) environmental chaos, (c) using Thai Buddhist teaching in coping, and (d) returning from the brink of death. Moreover, the patients felt great gratitude and were grateful to the health care team.
    Traumas experienced by patients in the ICU included physical and psychological distress, coping strategies, and an understanding of cultural awareness.
    Psychological and culturally congruent care should be implemented for patients in the ICU.
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  • 文章类型: Journal Article
    像COVID-19这样的流行病使全球医疗保健系统紧张,特别是在资源有限的环境中,先前存在的医疗保健差距和限制加剧了孕妇面临的挑战。从孕妇在COVID-19期间的经历中学到这一课,为减轻未来类似疫情的影响所需的潜在策略和干预措施提供了宝贵的见解。因此,这项现象学研究旨在揭示孕妇在迪拉镇COVID-19大流行期间的经历,Gedeo区,埃塞俄比亚南部。
    迪拉大学教学医院采用了描述性现象学设计。使用了目的抽样技术,并在第16位参与者宣布了数据饱和点。在接受产前护理服务后,在私人房间进行了深入采访。采访被录音了,转录,并使用开放代码软件版本4.03进行分析。访谈被逐字转录,以提供数据的刻度描述。采用归纳法进行主题分析。参与者的直接报价被纳入其中,没有任何语法编辑,以保留其预期含义。
    我们的研究发现了五个主要主题:COVID-19大流行对心理健康的影响,COVID-19对健康的影响,对COVID-19大流行的经济影响的担忧,COVID-19对社会参与的影响,以及获取可靠信息的挑战。
    这项研究发现,孕妇在大流行期间经历了各种挑战,包括心理问题,COVID-19对健康的影响,经济问题,缺乏可靠的信息和有限的社会支持。因此,通过将心理社会干预措施与产前护理服务相结合,并开展密集的健康教育会议和经济赋权,实施定制的方法是有益的,作为更好地为未来大流行做好准备的缓解战略。
    UNASSIGNED: Pandemics like COVID-19 has strained healthcare systems globally, particularly in resource-limited settings where pre-existing healthcare gaps and constraints amplify the challenges faced by pregnant women. Having this lesson on pregnant women\'s experiences during COVID-19 offers invaluable insights into potential strategies and interventions needed to mitigate the impact of similar outbreaks in the future. Therefore, this phenomenological study aimed to uncover the experiences of pregnant women during the COVID-19 pandemic in Dilla town, Gedeo zone, southern Ethiopia.
    UNASSIGNED: A descriptive phenomenological design was employed at Dilla University teaching hospital. A Purposive sampling technique was used and point of data saturation was declared at participant 16th. An in-depth interview was conducted in a private room after they received antenatal care services. The interviews were audiotaped, transcribed, and analysed using the open code software version 4.03. The interviews were transcribed verbatim to provide tick descriptions of data. Thematic analysis was employed using an inductive approach. Direct quotes from participants were included without any grammar editing to preserve their intended meaning.
    UNASSIGNED: Our study found five predominant themes: mental health consequences of the COVID-19 pandemic, health impact of COVID-19, concerns over the economic impact of the COVID-19 pandemic, COVID-19 influence on social engagements, and challenge on getting reliable information.
    UNASSIGNED: This study identified that pregnant women experienced various challenges during the pandemic which includes psychological problems, health impact of COVID-19, economic problems, lack of reliable information and limited social support. Hence, implementing a customized approach by integrating psychosocial interventions with prenatal care services and conducting intensive health education sessions and economic empowerment are beneficial as mitigation strategies to better prepare for future pandemics.
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  • 文章类型: Journal Article
    心力衰竭是影响全世界许多人的主要公共卫生问题。它影响病人生活的方方面面,导致极端的身体,社会,和功能限制和增加心理困扰。这项研究的目的是探索在TibebeGhion专科医院的成年心力衰竭患者的生活经历,埃塞俄比亚,2022年。
    定性现象学研究设计在TibebeGhion专业转诊医院进行,2022年11月10日至12月15日。采用异质性目的抽样技术选择了11名研究参与者。数据是通过深入访谈指南和观察清单收集的。该研究的严谨性和可信性由可转移性保持,可靠性,信誉,和一致性。主题分析方法用于使用ATLAS开发代码和主题。ti.7软件进行分析。
    开发了五个主要主题和11个子主题,以探索患有心力衰竭的成年人的生活经历。心力衰竭对日常生活的影响,心理和精神体验,金融经验,与医院服务相关的经验,获得治疗的挑战是主要主题。没有药物,实验室调查,心脏中心的无法进入是治疗期间的主要挑战。
    这项研究探讨了成年HF患者的生活经历在物理方面,心理和精神,金融,医院服务和获得治疗的挑战。因此,我们建议为HF患者提供心理和经济方面的支持,此外还建议患者进入药物治疗和医疗护理中心.
    UNASSIGNED: Heart failure is major public health problem that affects many people worldwide. It affects all aspects of patients\' lives, leading to extreme physical, social, and functional restriction and increasing psychological distress. The purpose of this study was to explore the lived experience of adult patient with heart failure at Tibebe Ghion Specialize Hospital, Ethiopia, 2022.
    UNASSIGNED: Qualitative Phenomenological study design was conducted at Tibebe Ghion Specialized Referral Hospital, from November 10 to December 15, 2022. Heterogenous purposive sampling technique was used to select 11 study participants. Data were collected through in-depth interviews guides and observational checklist. The rigor and trustworthiness of the study were maintained by transferability, dependability, credibility, and conformability. Thematic analysis method was used for the development of codes and themes using ATLAS. ti.7 software for analysis.
    UNASSIGNED: Five main themes and eleven subthemes were developed that explore the lived experience of adults with heart failure. Impact of heart failure on daily life, psychological and spiritual experiences, financial experiences, experiences related to hospital service, and challenges to getting treatment are major themes. Unavailability of medicine, lab investigations, and the inaccessibility of cardiac centers were the main challenges during their treatment.
    UNASSIGNED: This study explored that lived experience of adult HF patients were addressed in in terms of Physical, Psychological and Spiritual, financial, hospital service and challenges to get treatment. Therefore, we recommended providing psychological and economical support for HF patients and in addition to accessing medication and medical care centers.
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  • 文章类型: Journal Article
    发育协调障碍(DCD)是一种神经发育障碍,影响5%-6%的儿童,并持续到成年50%-70%的病例。尽管这种疾病具有多领域和终生的影响,很少考虑家庭的经历。但是,建议提供诊断后支持,需要支持的具体领域仍然模糊。
    这项研究描述了与被诊断患有DCD的成员一起生活的家庭经历。
    使用现象学方法进行的定性描述性研究可以深入了解使用DCD旅行的家庭的生活经历。代表8个国家的44名参与者参加了在线问卷,12名参与者参加了在线半结构化访谈。
    生成的主题表明,获得诊断并导航医疗保健和教育系统可能会很麻烦。诊断后,家庭往往会经历积极的情绪,如救济。然而,每天的挑战很快导致主要的负面情绪反应。DCD给家庭带来巨大的经济负担,影响婚姻,父母和兄弟姐妹的关系。由于对DCD的了解很少,家庭经常感到与社区隔离。
    DCD将家庭置于危险之中,因为日常斗争需要支持,目标是确定的马达,认知,学术和情感挑战。在社会中创造意识,教育和医疗保健将减轻持续的挫折。
    这项研究提供了深入了解DCD对家庭的广泛影响,以便可以定制个性化支持,提高了普遍的认识。
    UNASSIGNED: Developmental coordination disorder (DCD) is a neurodevelopmental disorder impacting 5% - 6% of children and continues into adulthood for 50% - 70% of cases. Despite the multidomain and lifelong influence of this disorder, little consideration has been given to the experiences of the family. Post-diagnostic support has been recommended however, the specific areas requiring support remain vague.
    UNASSIGNED: This study described the familial experiences of living with a member diagnosed with DCD.
    UNASSIGNED: A qualitative descriptive study using a phenomenological approach allowed insight into the lived experiences of families journeying with DCD. Forty-four participants representing 8 countries participated in an online questionnaire with 12 participating in an online semi-structured interview.
    UNASSIGNED: Themes generated reveal that obtaining a diagnosis and navigating the healthcare and education systems can be troublesome. Upon diagnosis, families tend to experience positive emotions such as relief. However, the daily challenges soon result in dominant negative emotional responses. DCD places significant financial burdens on families and impacts marital, parental and sibling relationships. Families often feel isolated from their communities as DCD is poorly understood.
    UNASSIGNED: DCD places families at risk as daily struggles require support which targets identified motor, cognitive, academic and emotional challenges. Creating awareness in society, education and healthcare would alleviate continual frustrations.
    UNASSIGNED: This study provides insight into the wide-ranging impact that DCD has on families so that individualised support can be tailored, and general awareness raised.
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  • 文章类型: Journal Article
    2022年,COVID-19继续在全球蔓延,阻止病毒的传播,保护人们的健康,中国各地的大学继续处于封锁状态。孤独感是大学生中的一个重要话题,冠状病毒大流行加剧了孤独。这种长时间的学校封锁是前所未有的,它给学生造成了严重的社会孤立和情感孤独。很少有人知道护理专业的学生如何体验孤独,并通过他们的经历找到一种方法。这项定性现象学研究旨在揭示护理专业学生的生活经历,这些学生在先前的定量调查中表示与COVID-19封锁相关的孤独感。我们在锁定期间(2022年4月至2022年6月)对19-23岁的护理学生进行了20次半结构化访谈。我们的研究应用Colaizzi的七步数据分析过程来揭示护理学生如何经历封锁的共同模式,并发现以下四个主题:与孤独相关的情感挑战;孤独的原因;积极和消极的学习动机;接受孤独和重建现实生活。
    In 2022, COVID-19 continued to spread across the globe, and to stop the spread of the virus and protect people\'s health, universities across China continued to remain in a lockdown state. Loneliness is an important topic among college students, and the coronavirus pandemic has exacerbated loneliness. This prolonged school lockdown was unprecedented and it caused severe social isolation and emotional loneliness for students. Few people know how nursing students experience loneliness and find a way through their experience. This qualitative phenomenological study was conducted to reveal the lived experiences of nursing students who indicated COVID-19 lockdown-related loneliness in a previous quantitative survey. We performed 20 semi-structured interviews with nursing students aged 19-23 yrs during their lockdown (April 2022 to June 2022). Our research applied Colaizzi\'s seven-step data analysis processes to reveal shared patterns in terms of how nursing students experienced lockdown and found the following four themes: emotional challenges associated with loneliness; causes of loneliness; positive and negative motivation to learn; and accepting solitude and reconstructing real life.
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  • 文章类型: Journal Article
    本研究旨在探讨儿童重症监护病房(PICU)患有严重哮喘的父母在参与制定儿童出院护理计划时所面临的复杂决策困境和挑战。
    采用现象学方法论,我们对2022年10月至2023年2月期间参加深度半结构化访谈的17名家长进行了有目的的抽样.这些采访的笔录被转录成文本数据,然后进行Colaizzi的七步分析,以进行细致的编码和全面的主题说明。
    在PICU制定出院护理计划的过程中,对重症哮喘患儿父母所面临的复杂决策困境所涉及的因素进行了综合分析,揭示了五个主题和八个子主题:1)哮喘相关信息的复杂性;2)全面决策支持的提供不足;3)遇到负面情绪和信心动摇;4)影响父母的各种不利因素。
    在PICU中患有严重哮喘的儿童的父母在参与制定出院护理计划时,会遇到复杂和多方面的决策困境。这些复杂性极大地削弱了他们的决策热情,并给儿童的预后和康复带来潜在风险。在未来,在决策过程中,必须利用医疗保健专业人员(HCP)提供的指导,开发量身定制的决策支持工具,专门为PICU重症哮喘患儿制定出院护理计划.
    UNASSIGNED: This study aims to explore the complicated decision-making dilemma and challenges confronted by parents of children suffering from severe asthma within the Pediatric Intensive Care Unit (PICU) when participating in the development of their children\'s discharge care plans.
    UNASSIGNED: Employing a phenomenological methodology, a purposive sampling was performed to engage with 17 parents who participated in in-depth and semi-structured interviews between October 2022 and February 2023. The transcripts of these interviews were transcribed into textual data, which was then subjected to Colaizzi\'s seven-step analysis for meticulous coding and comprehensive thematic elucidation.
    UNASSIGNED: The comprehensive analysis of the factors involved in the intricate decision-making dilemmas faced by parents of children with severe asthma during the process of crafting discharge care plans in the PICU revealed five themes and eight sub-themes: 1) Complexity of asthma-related information; 2) Insufficient provision of comprehensive decision-making support; 3) Encountering negative emotions and wavering confidence; 4) Navigating realistic constraints impacting both parents and HCPs; 5) Balancing the advantages and disadvantages of various plans.
    UNASSIGNED: Parents of children with severe asthma in the PICU encounter intricate and multifaceted decision-making dilemmas while engaging in the formulation of discharge care plans. These complexities significantly dampen their decision-making enthusiasm and introduce potential risks to the children\'s prognosis and recovery. In the future, it is imperative to leverage the guidance provided by healthcare professionals (HCPs) in the decision-making process, develop tailored decision support tools specifically designed for the formulation of discharge care plans for children with severe asthma in the PICU.
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