基于扎根理论的高血压患者家庭血压监测行为影响因素模型构建
Construction of a model on influencing factors of home blood pressure monitoring behavior in hypertensive patients based on the grounded theory
范琦淇 1陈慈玉 2丁美祝 1梁桂兴 1王娟3
作者信息
- 1. 广州中医药大学第二附属医院呼吸与危重症医学科(广东 广州,510120)
- 2. 广东药科大学附属第一医院
- 3. 广州中医药大学护理学院
- 折叠
摘要
目的 探索高血压患者家庭血压监测行为的影响因素,为构建针对性的干预方案提供参考.方法 采用目的 抽样、理论抽样和滚雪球抽样法选取18例高血压患者进行半结构化访谈,通过开放式编码、轴心编码、选择性编码构建高血压患者的家庭血压监测影响因素模型.结果 患者相关因素直接影响其家庭血压监测行为,疾病与治疗相关因素为内部情境因素,医疗服务系统因素和社会经济因素为外部情境因素,对家庭血压监测行为起调节作用.结论 医护人员应及时评估影响患者血压监测的阻碍与促进因素,加强医患沟通并完善随访体系,制定个体化的干预措施改善患者的家庭血压监测行为,优化血压管理.
Abstract
Objective To explore the influencing factors of Home Blood Pressure Monitoring(HBPM)behavior in hypertensive pa-tients,in order to provide a reference for developing targeted intervention.Methods A total of 18 hypertensive patients were selec-ted using purposive sampling,theoretical sampling and snowball sampling methods to conduct semi-structured interviews,then a model on influencing factors of HBPM in hypertensive patients was constructed through open coding,axial coding and selective coding.Results Patient-related factors directly affected their HBPM behavior,disease and treatment-related factors were internal situational factors,medical service system factors and socioeconomic factors were external situational factors,which played a regu-latory role in HBPM behavior.Conclusion Medical staff should evaluate the barriers and enablers affecting patients'HBPM behavior in time,strengthen physician-client communication and improve the follow-up system,formulate individualized intervention mea-sures to improve patients'HBPM behavior,and optimize blood pressure management.
关键词
高血压/家庭血压监测/影响因素/模型构建/情境因素/扎根理论/质性研究Key words
hypertension/home blood pressure monitoring/influencing factors/model construction/situational factors/grounded theory/qualitative research引用本文复制引用
基金项目
2022年中国高校产学研创新基金-腾讯科技创新教育专项(2022TX021)
出版年
2024
NETL
NSTL
万方数据