Psychological experience of inpatients with acute pancreatitis: a qualitative study

Objective This study aimed to better understand the psychological experiences of inpatients with acute pancreatitis (AP).Design We used a qualitative descriptive study design to capture patients with AP’s thoughts, feelings and behavioural responses.Setting We conducted this study in the gastroenter...

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Main Authors: Yuanyuan Chen, Guotao Lu, Can Zhang, Yiwen Gao, Jingwen Qin, Weiwei Chen, Yan Ren, Shuli Ma, Weijuan Gong, Xiaoxi Yang, Hongmei He
Format: Article
Language:English
Published: BMJ Publishing Group 2022-06-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/12/6/e060107.full
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author Yuanyuan Chen
Guotao Lu
Can Zhang
Yiwen Gao
Jingwen Qin
Weiwei Chen
Yan Ren
Shuli Ma
Weijuan Gong
Xiaoxi Yang
Hongmei He
author_facet Yuanyuan Chen
Guotao Lu
Can Zhang
Yiwen Gao
Jingwen Qin
Weiwei Chen
Yan Ren
Shuli Ma
Weijuan Gong
Xiaoxi Yang
Hongmei He
author_sort Yuanyuan Chen
collection DOAJ
description Objective This study aimed to better understand the psychological experiences of inpatients with acute pancreatitis (AP).Design We used a qualitative descriptive study design to capture patients with AP’s thoughts, feelings and behavioural responses.Setting We conducted this study in the gastroenterology departments of two tertiary hospitals in Eastern China.Participants We used a convenience sampling approach to recruit 28 inpatients with AP from 1 August 2020 to 25 December 2020. The interviews were audio-recorded and transcribed verbatim. We employed an adapted version of Colaizzi’s qualitative analysis approach to examine the data.Results We extracted three themes and eight subthemes regarding the participants’ psychological experiences: (1) feeling that their disease is unpredictable (the inability to recognise the disease, uncertainty about the illness and fear of progression or recurrence); (2) various kinds of stress and support (feeling different degrees of stress, perceiving social support, seeking and craving social support); and (3) developing self-adaptability in the disease process (treating one’s illness negatively or positively).Conclusions Cognitive and emotional responses vary in patients with AP during hospitalisation. Moreover, patients with distinct conditions demonstrate significant differences in their responses and coping mechanisms. Healthcare providers need to mobilise social support and formulate comprehensive intervention strategies according to patients’ individual characteristics.
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spelling doaj-art-fe46d454ded04e72b0c8db6c2ba4ed602025-01-27T22:55:08ZengBMJ Publishing GroupBMJ Open2044-60552022-06-0112610.1136/bmjopen-2021-060107Psychological experience of inpatients with acute pancreatitis: a qualitative studyYuanyuan Chen0Guotao Lu1Can Zhang2Yiwen Gao3Jingwen Qin4Weiwei Chen5Yan Ren6Shuli Ma7Weijuan Gong8Xiaoxi Yang9Hongmei He10Neurology Department, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang, China1 Surgical Intensive Care Unit (SICU), Department of General Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing, China3 Genetics and Aging Research Unit, Mass General Institute for Neurodegenerative Disease (MIND), Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA1 MSC Nursing, Yangzhou University, Yangzhou, Jiangsu, China1 MSC Nursing, Yangzhou University, Yangzhou, Jiangsu, ChinaDepartment of Gastroenterology, Yangzhou University Affiliated Northern Jiangsu People’s Hospital, Yangzhou, Jiangsu, ChinaKnowcell Biotechnology Co., Ltd, Shenzhen, ChinaDepartment of Pharmacy, Children’s Hospital Affiliated to Zhengzhou University, Zhengzhou, Henan, People`s Republic of ChinaDepartment of Medicine, Yangzhou University, Yangzhou, ChinaDepartment of Nursing, Affiliated Hospital of Nantong University, Nantong, ChinaDepartment of Nursing, Affiliated Hospital of Nantong University, Nantong, ChinaObjective This study aimed to better understand the psychological experiences of inpatients with acute pancreatitis (AP).Design We used a qualitative descriptive study design to capture patients with AP’s thoughts, feelings and behavioural responses.Setting We conducted this study in the gastroenterology departments of two tertiary hospitals in Eastern China.Participants We used a convenience sampling approach to recruit 28 inpatients with AP from 1 August 2020 to 25 December 2020. The interviews were audio-recorded and transcribed verbatim. We employed an adapted version of Colaizzi’s qualitative analysis approach to examine the data.Results We extracted three themes and eight subthemes regarding the participants’ psychological experiences: (1) feeling that their disease is unpredictable (the inability to recognise the disease, uncertainty about the illness and fear of progression or recurrence); (2) various kinds of stress and support (feeling different degrees of stress, perceiving social support, seeking and craving social support); and (3) developing self-adaptability in the disease process (treating one’s illness negatively or positively).Conclusions Cognitive and emotional responses vary in patients with AP during hospitalisation. Moreover, patients with distinct conditions demonstrate significant differences in their responses and coping mechanisms. Healthcare providers need to mobilise social support and formulate comprehensive intervention strategies according to patients’ individual characteristics.https://bmjopen.bmj.com/content/12/6/e060107.full
spellingShingle Yuanyuan Chen
Guotao Lu
Can Zhang
Yiwen Gao
Jingwen Qin
Weiwei Chen
Yan Ren
Shuli Ma
Weijuan Gong
Xiaoxi Yang
Hongmei He
Psychological experience of inpatients with acute pancreatitis: a qualitative study
BMJ Open
title Psychological experience of inpatients with acute pancreatitis: a qualitative study
title_full Psychological experience of inpatients with acute pancreatitis: a qualitative study
title_fullStr Psychological experience of inpatients with acute pancreatitis: a qualitative study
title_full_unstemmed Psychological experience of inpatients with acute pancreatitis: a qualitative study
title_short Psychological experience of inpatients with acute pancreatitis: a qualitative study
title_sort psychological experience of inpatients with acute pancreatitis a qualitative study
url https://bmjopen.bmj.com/content/12/6/e060107.full
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