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首页> 外文期刊>Patient Preference and Adherence >Understanding the patient multidimensional experience: a qualitative study on coping in hospitals of Assistance Publique-H?pitaux de Paris, France
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Understanding the patient multidimensional experience: a qualitative study on coping in hospitals of Assistance Publique-H?pitaux de Paris, France

机译：理解患者的多维体验：法国巴黎公共卫生局医院应对的定性研究

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Objective: Time spent in hospitals is complex and entails a number of distinct phases that fluctuate depending on many variables. Attempts to understand patients’ experiences often involve focusing on their needs using self-evaluation, but this does not clearly highlight the complexity of coping. Questionnaires based on telephone surveys and emails do not facilitate a sufficient assessment of the coping effort. However, when patients express themselves through spontaneous narration, different dimensions may emerge in their experience at the hospital. This qualitative study explores the various forms of coping among patients with a hospital experience.Methods: Interviews were conducted with 75 patients in six hospital departments. Transcripts from interviews were thematically analyzed and a conceptual, multidimensional model was developed to explain the relationship between patient experience and coping complexity.Results: Patients used a set of about 50 different terms to describe their experiences in the hospital. They described with the greatest number of words the aspects that triggered their stress or distress and forced them to cope. Stress resulting from the experienced situation was classifiable into five dimensions: trauma, environment, medical, interpersonal affective, and social impact, which constitute invariants that may require individual complex coping strategies.Conclusion: Patient experience is hard to evaluate, and this represents a permanent challenge for medical teams. Considering the five coping dimensions delineated in this study may be helpful in improving the patient’s hospital experience.
机译：目标：花费在医院的时间很复杂，并且涉及多个不同阶段，这些阶段会根据许多变量而波动。试图了解患者的经历通常涉及使用自我评估来关注他们的需求，但这并没有清楚地表明应对的复杂性。根据电话调查和电子邮件进行的问卷调查无法充分评估应对措施。但是，当患者通过自发的叙事表达自己时，他们在医院的经历可能会出现不同的维度。这项定性研究探讨了具有医院经历的患者的各种应对方式。方法：采访了六个医院部门的75名患者。对访谈记录进行了专题分析，并开发了一个概念化的多维模型来解释患者体验与应对复杂性之间的关系。结果：患者使用了大约50个不同的术语来描述他们在医院的经历。他们用最多的词语描述了引发压力或困扰并迫使他们应付的方面。经历情况造成的压力可分为五个方面：创伤，环境，医疗，人际情感和社会影响，这些因素构成了可能需要个体复杂应对策略的不变因素。结论：患者的经历难以评估，这代表着永久性对医疗队的挑战。考虑本研究中描述的五个应对维度可能有助于改善患者的住院经验。

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