"Post-thrombotic panic syndrome": A thematic analysis of the experience of venous thromboembolism
"Post-thrombotic panic syndrome": A thematic analysis of the experience of venous thromboembolism
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DOI：
10.1111/bjhp.12213
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发表时间：
2017-02-01
影响因子：
7.9
通讯作者：
Bennett, Paul D.
中科院分区：
文献类型：
--
作者：
Hunter, Rachael;Lewis, Sarah;Bennett, Paul D.
目标.静脉血栓栓塞（VTE，包括深静脉血栓形成[DVT]和肺栓塞[PE]）是一种严重的、潜在创伤性的、危及生命的疾病，也是死亡和发病的主要原因。本研究的目的是探讨静脉血栓栓塞症患者的经历及其心理社会影响。音频记录的半结构化访谈，有目的的样本12名参与者在过去6个月内经历了首次DVT或PE。访谈被转录和主题分析。确定了四个关键主题和10个分主题。主要主题如下：职业创伤和职业教育是改变生活的创伤，生活在不确定性和对复发的恐惧中，对卫生服务感到失望，以及积极的变化和结果。主题的内容根据VTE时的年龄和参与者的诊断和治疗经验而变化。这些数据表明，职业创伤和创伤的心理社会影响改变了生活，包括创伤和成长的动态二元性。研究结果强调了医疗保健专业人员在识别和支持有创伤后应激风险的个人方面的潜在作用，以及有针对性的干预措施，以增强心理健康和恢复并减少痛苦。
Objectives. Venous thromboembolism (VTE, including deep vein thrombosis [DVT] and pulmonary embolism [PE]) is a serious, potentially traumatic, life-threatening condition and a major cause of mortality and morbidity. The aim of this study was to explore the patients' experiences of VTE and its psychosocial impact.Methods. Audio-recorded semistructured interviews with a purposive sample of 12 participants who had experienced a first-time DVT or PE within the previous 6 months. Interviews were transcribed and thematically analysed.Results. Four key themes with 10 subthemes were identified. The major themes were as follows: VTE as life-changing and traumatic, living with uncertainty and fear of reoccurrence, feeling let down by health services, and positive changes and outcomes. The content of themes varied according to age at the time of VTE and participants' experiences of diagnosis and treatment.Conclusions. The data demonstrate the psychosocial impact of VTE as life-changing, encompassing a dynamic duality of trauma and growth. The findings highlight a potential role for health care professionals in identifying and supporting individuals at risk of post-traumatic stress, and targeted interventions to enhance psychological well-being and recovery and reduce distress.