首页|慢性心力衰竭患者居家用药安全影响因素的质性研究

慢性心力衰竭患者居家用药安全影响因素的质性研究

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目的 基于健康行为改变整合理论探讨慢性心力衰竭(chronic heart failure,CHF)患者居家用药安全的影响因素。方法 采用描述性质性研究方法,通过目的抽样,选取2022年12月—2023年5月湖南省长沙市3所医院心血管内科病区的22例CHF患者进行半结构式深度访谈,借助NVivo 11。0软件整理和编码资料,采用定向主题分析法分析资料。结果 共提炼出知识(疾病知识、用药安全知识)、态度与信念(疾病态度、服药信念)、自我调节(参与用药安全的自我管理、在经验中成长)、社会促进(医院咨询服务、家庭成员支持、客观情境干扰)4个主题和9个亚主题。结论 知识、信念、自我调节和社会促进相互联系,共同影响CHF患者居家用药安全行为。医护人员、家庭成员和社会应为患者提供用药安全信息、营造支持性环境,重点提高患者自我调节的意识和能力,坚定其服药信念,保障CHF患者居家用药安全。
Influencing factors of home medication safety in patients with chronic heart failure:a qualitative study
Objective Based on the Integrated Theory of Health Behavior Change(ITHBC),the influencing factors of home medication safety were explored in patients with chronic heart failure(CHF).Methods This qualitative de-scription,involving a semi-structured in-depth interview of 22 CHF patients based on purposive sampling,was con-ducted from December 2022 to May 2023,at 3 hospitals in Changsha,Hunan.NVivo 11.0 software was used to or-ganize and code data,and content analysis was performed to analyze data.Results Totally 9 generic categories be-longing to 4 categories were extracted.These were knowledge(knowledge of disease and knowledge of medication safety),attitude and belief(attitude towards diseases and medication belief),self-regulation(participation in medica-tion safety self-management and growing through experience),and social facilitation(hospital consultation services,family support and objective situation interference).Conclusion Knowledge,belief,self-regulation and social facili-tation were interrelated to influence medication safety behavior of patients with CHF at home.Medical workers,family members and society should work together to provide medication safety information,create a supportive envi-ronment,focus on improving patients'awareness and ability of self-regulation,strengthen their belief in taking medi-cation,and ultimately ensure the home medication safety for CHF patients.

Integrated Theory of Health Behavior ChangeChronic Heart FailureHome MedicationMedication SafetyQualitative StudyNursing Care

程玲、郑凤、惠梦湲、钟竹青

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410013 长沙市 中南大学湘雅护理学院

中南大学湘雅三医院心血管内科

中南大学湘雅三医院护理部

健康行为改变整合理论 慢性心力衰竭 居家用药 用药安全 质性研究 护理

国家自然科学基金青年科学基金项目

72104251

2024

中华护理杂志
中华护理学会

中华护理杂志

CSTPCD北大核心
影响因子:5.365
ISSN:0254-1769
年,卷(期):2024.59(14)