Somatic Changes Perceived by Patients With Heart Failure During Acute Exacerbation A Qualitative Study Using Text Mining
Somatic Changes Perceived by Patients With Heart Failure During Acute Exacerbation A Qualitative Study Using Text Mining
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DOI：
10.1097/jcn.0000000000000915
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发表时间：
2023-01-01
影响因子：
2
通讯作者：
Ochiai，Ryota
中科院分区：
文献类型：
--
作者：
Okada，Akiko;Tsuchihashi-Makaya，Miyuki;Ochiai，Ryota
背景心力衰竭（HF）患者往往不能充分认识到他们的症状。这可能是因为医学术语与患者经历的身体变化不匹配。为了提高症状感知，医疗保健专业人员必须了解的躯体变化，感知patients.ESTA研究的目的是分析患者的叙述，HF患者的躯体变化的文本挖掘和澄清的整体描述，使用patients'expressions.MethodsSemiStructured采访了21例住院的HF急性加重。从访谈中获得的定性数据进行了分析，通过文本mining.ResultsAmong 21例患者，76.2%是男性的内容分析。平均（SD）年龄为71.3（13.7）岁。最常使用的术语是“呼吸"、“痛苦"、“脚”和“哈哈（喘息声）"（分别为46、40、29和28次）。患者注意到的躯体变化可以归类为医学术语，如“运动性呼吸困难"、“运动不耐受"、“疲劳"、“阵发性夜间呼吸困难"、“尿频"、“痰增多"、“体重增加”、“足和面部水肿"、“腹部水肿”和“踝部水肿”。然而，由patients使用的躯体变化的表达是多样的。ConclusionsThe患者的具体表现的症状的调查结果表明，有必要评估症状，不仅使用医学术语，但也专注于患者的具体表现。
BackgroundPatients with heart failure (HF) often inadequately perceive their symptoms. This may be because the medical terms do not match the somatic changes experienced by patients. To improve symptom perception, healthcare professionals must understand the somatic changes as perceived by patients.ObjectiveThis study aims to analyze patients' narratives about somatic changes in patients with HF by text mining and to clarify the overall description of somatic changes using patients' expressions.MethodsSemistructured interviews were conducted on 21 patients hospitalized for acute exacerbation of HF. Qualitative data obtained from the interviews were analyzed by content analysis through text mining.ResultsAmong the 21 patients, 76.2% were men. The mean (SD) age was 71.3 (13.7) years. The most frequently used terms were “breath,”“distressed,”“feet,” and “ha-ha (gasping sound)”(46, 40, 29, and 28 times, respectively). The somatic changes noticed by patients could be categorized into medical jargon such as “dyspnea on exertion,”“exercise intolerance,”“fatigue,”“paroxysmal nocturnal dyspnea,”“frequent urination,”“increased sputum,”“weight gain,”“feet and face edema,”“abdominal edema,” and “ankle edema.” However, the expressions of somatic changes used by the patients were diverse.ConclusionsThe findings of patient-specific expressions of symptoms suggest that there is a need to assess symptoms not only using medical jargon but also by focusing on patient-specific expressions.