首页|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

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

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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.
Construction of a model on influencing factors of home blood pressure monitoring behavior in hypertensive patients based on the grounded theory
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.

hypertensionhome blood pressure monitoringinfluencing factorsmodel constructionsituational factorsgrounded theoryqualitative research

范琦淇、陈慈玉、丁美祝、梁桂兴、王娟

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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)

广东药科大学附属第一医院

广州中医药大学护理学院

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

2022年中国高校产学研创新基金-腾讯科技创新教育专项

2022TX021

2024

护理学杂志
华中科技大学同济医学院

护理学杂志

CSTPCD北大核心
影响因子:2.062
ISSN:1001-4152
年,卷(期):2024.39(15)
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