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冠心病出院患者EECP治疗依从性阻碍因素的质性研究

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目的 探讨阻碍冠心病出院患者对增强型体外反搏(enhanced external counterpulsation,EECP)治疗依从性的影响因素,为制定相应的干预策略提供依据.方法 采用半结构式访谈法,对2020年3月至2021年8月于甘肃省人民医院住院期间实施EECP治疗但出院后退出EECP治疗项目的19例冠心病患者进行深入访谈,根据现象学理论方法,应用Colaizzi 7步分析法分析访谈资料.结果 认知因素(对疾病和EECP治疗认识不足)、客观因素(距离、交通、经济、时间、疫情的影响)和心理因素均是阻碍冠心病出院患者EECP治疗依从性的影响因素.结论 医护人员应针对冠心病出院患者EECP治疗依从性缺乏的影响因素,从患者的认知、客观因素及心理因素出发,针对性制定干预措施,以提高冠心病出院患者参与EECP治疗的积极性与依从性.
Qualitative study of obstructive factors in compliance with EECP treatment in discharged patients with coronary heart disease
Objective To explore the influencing factors hindering compliance of discharged patients with coronary heart disease on enhanced external counterpulsation(EECP),and to provide basis for formulating corresponding intervention strategies.Methods A semi-structured interview method was used to conduct in-depth interviews on 19 patients with coronary heart disease who received EECP treatment during hospitalization in Gansu Provincial Hospital from March 2020 to August 2021 but withdrew from the EECP treatment program after discharge.According to phenomenological theory,the Colaizzi 7-step analysis method was applied to analyze the interview data.Results Cognitive factors(insufficient understanding of the disease and EECP treatment),objective factors(distance,transportation,economy,time,epidemic impact)and psychological factors were all influencing factors that hinder the compliance of patients discharged from coronary heart disease with EECP treatment.Conclusion In order to improve the enthusiasm and compliance of discharged patients with coronary heart disease to participate in EECP treatment,the medical staff should formulate intervention measures according to the influencing factors of the lack of EECP treatment compliance of discharged patients with coronary heart disease from the cognitive factors,objective factors and psychological factors of patients.

Coronary heart diseaseEnhanced external counterpulsationWithdrawal/obstruction of treatmentQualitative study

何勤利、孟红燕、张菊霞

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甘肃省人民医院心内科,甘肃兰州 730000

甘肃中医药大学护理学院,甘肃兰州 730000

甘肃省人民医院临床教学部,甘肃兰州 730000

冠心病 增强型体外反搏 退出/阻碍治疗 质性研究

2024

中国现代医生
中国医学科学院

中国现代医生

影响因子:1.571
ISSN:1673-9701
年,卷(期):2024.62(25)