目的:描述内镜黏膜下剥离术(ESD)后使用自控式水囊的体验,旨在为该人群护理提供参考依据。方法:采用田野式访谈,按照目的抽样法,于2024.01~2024.06选取在上海市东方医院内镜中心内镜黏膜下剥离术后复诊治疗50例患者进行访谈,并以内容分...目的:描述内镜黏膜下剥离术(ESD)后使用自控式水囊的体验,旨在为该人群护理提供参考依据。方法:采用田野式访谈,按照目的抽样法,于2024.01~2024.06选取在上海市东方医院内镜中心内镜黏膜下剥离术后复诊治疗50例患者进行访谈,并以内容分析法归纳和提炼主题。结果:提炼出5个主题及11个亚主题;生理不适感(身体层面不适感、迫切渴望拔除气囊)、心理不适感(病耻感、焦虑)、生活质量下降(生活习惯改变、睡眠质量降低)、期待社会支持(期待理解和尊重、依赖家庭支持、渴望社会支持)、疾病自我管理能力不足(预后的认知较差、水囊使用依从性)。结论:内镜黏膜下剥离术后使用自控式水囊的患者除了对疾病焦虑外,对于水囊的使用、使用注意事项以及过程中的各种支持仍有较高的需求。未来应制定多方位干预措施,促进其更好地疾病康复、尽快恢复正常生活。Objective: To describe the experience of using a self controlled water balloon after endoscopic submucosal dissection (ESD), with the aim of providing a reference for nursing care for this population. Method: Field interviews were conducted using purposive sampling. From January 2024 to June 2024, 50 patients who underwent follow-up treatment after endoscopic submucosal dissection at the Endoscopy Center of Dongfang Hospital in Shanghai were selected for interviews. Content analysis was used to summarize and extract themes. As a result, 5 themes and 11 sub-themes were extracted: Physiological discomfort (physical discomfort, an urgent desire to remove the balloon), psychological discomfort (sense of shame, anxiety), decreased quality of life (changes in daily habits, reduced sleep quality), expectation of social support (desire for understanding and respect, reliance on family support, longing for societal support), and inadequate disease self-management (poor prognosis awareness, compliance with balloon usage). Conclusion: Patients who use self controlled water balloon after endoscopic submucosal dissection still have a high demand for the use of water sacs, precautions, and various supports during the process, in addition to disease anxiety. In the future, multi-faceted intervention measures should be developed to promote better disease recovery and prompt resumption of normal life.展开更多
目的:建立大鼠胃黏膜组织黏膜下注射取材方法,并与传统方法比较。方法:将Wistar大鼠随机分为传统方法取材组和黏膜下注射取材组,记录并比较2组胃黏膜大体形态、取材时间及取材胃黏膜重量,HE染色观察胃黏膜取材效果。结果:黏膜下注射取...目的:建立大鼠胃黏膜组织黏膜下注射取材方法,并与传统方法比较。方法:将Wistar大鼠随机分为传统方法取材组和黏膜下注射取材组,记录并比较2组胃黏膜大体形态、取材时间及取材胃黏膜重量,HE染色观察胃黏膜取材效果。结果:黏膜下注射取材组胃黏膜组织的完整性好于传统方法取材组。黏膜下注射取材组胃黏膜重量高于传统方法取材组,2组比较差异有统计学意义(778.4±71.88mg vs 636.2±76.44mg,P=0.016)。黏膜下注射取材组取材时间短于传统方法取材组,2组比较差异有统计学意义(4.84±0.68min vs 6.56±0.83min,P=0.008)。组织学观察黏膜下注射取材组胃黏膜的完整性和精确性好于传统方法取材组。结论:黏膜下注射取材法是可行性较好的大鼠胃黏膜取材方法,可用于后续的实验研究。展开更多
文摘目的:描述内镜黏膜下剥离术(ESD)后使用自控式水囊的体验,旨在为该人群护理提供参考依据。方法:采用田野式访谈,按照目的抽样法,于2024.01~2024.06选取在上海市东方医院内镜中心内镜黏膜下剥离术后复诊治疗50例患者进行访谈,并以内容分析法归纳和提炼主题。结果:提炼出5个主题及11个亚主题;生理不适感(身体层面不适感、迫切渴望拔除气囊)、心理不适感(病耻感、焦虑)、生活质量下降(生活习惯改变、睡眠质量降低)、期待社会支持(期待理解和尊重、依赖家庭支持、渴望社会支持)、疾病自我管理能力不足(预后的认知较差、水囊使用依从性)。结论:内镜黏膜下剥离术后使用自控式水囊的患者除了对疾病焦虑外,对于水囊的使用、使用注意事项以及过程中的各种支持仍有较高的需求。未来应制定多方位干预措施,促进其更好地疾病康复、尽快恢复正常生活。Objective: To describe the experience of using a self controlled water balloon after endoscopic submucosal dissection (ESD), with the aim of providing a reference for nursing care for this population. Method: Field interviews were conducted using purposive sampling. From January 2024 to June 2024, 50 patients who underwent follow-up treatment after endoscopic submucosal dissection at the Endoscopy Center of Dongfang Hospital in Shanghai were selected for interviews. Content analysis was used to summarize and extract themes. As a result, 5 themes and 11 sub-themes were extracted: Physiological discomfort (physical discomfort, an urgent desire to remove the balloon), psychological discomfort (sense of shame, anxiety), decreased quality of life (changes in daily habits, reduced sleep quality), expectation of social support (desire for understanding and respect, reliance on family support, longing for societal support), and inadequate disease self-management (poor prognosis awareness, compliance with balloon usage). Conclusion: Patients who use self controlled water balloon after endoscopic submucosal dissection still have a high demand for the use of water sacs, precautions, and various supports during the process, in addition to disease anxiety. In the future, multi-faceted intervention measures should be developed to promote better disease recovery and prompt resumption of normal life.
文摘目的:建立大鼠胃黏膜组织黏膜下注射取材方法,并与传统方法比较。方法:将Wistar大鼠随机分为传统方法取材组和黏膜下注射取材组,记录并比较2组胃黏膜大体形态、取材时间及取材胃黏膜重量,HE染色观察胃黏膜取材效果。结果:黏膜下注射取材组胃黏膜组织的完整性好于传统方法取材组。黏膜下注射取材组胃黏膜重量高于传统方法取材组,2组比较差异有统计学意义(778.4±71.88mg vs 636.2±76.44mg,P=0.016)。黏膜下注射取材组取材时间短于传统方法取材组,2组比较差异有统计学意义(4.84±0.68min vs 6.56±0.83min,P=0.008)。组织学观察黏膜下注射取材组胃黏膜的完整性和精确性好于传统方法取材组。结论:黏膜下注射取材法是可行性较好的大鼠胃黏膜取材方法,可用于后续的实验研究。
