中华护理杂志 ›› 2024, Vol. 59 ›› Issue (14): 1713-1718.DOI: 10.3761/j.issn.0254-1769.2024.14.007

• 心力衰竭护理专题 • 上一篇    下一篇

慢性心力衰竭患者居家用药安全影响因素的质性研究

程玲(), 郑凤(), 惠梦湲, 钟竹青   

  1. 410013 长沙市 中南大学湘雅护理学院(程玲,惠梦湲);中南大学湘雅三医院心血管内科(郑凤),护理部(钟竹青)
  • 收稿日期:2023-07-28 出版日期:2024-07-20 发布日期:2024-07-11
  • 通讯作者: 郑凤,E-mail:zhengfengxy3yy@csu.edu.cn
  • 作者简介:程玲:女,本科(硕士在读),护师,E-mail:1453832387@qq.com
  • 基金资助:
    国家自然科学基金青年科学基金项目(72104251)

Influencing factors of home medication safety in patients with chronic heart failure:a qualitative study

CHENG Ling(), ZHENG Feng(), HUI Mengyuan, ZHONG Zhuqing   

  • Received:2023-07-28 Online:2024-07-20 Published:2024-07-11

摘要:

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。

关键词: 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

Abstract:

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 description,involving a semi-structured in-depth interview of 22 CHF patients based on purposive sampling,was conducted from December 2022 to May 2023,at 3 hospitals in Changsha,Hunan. NVivo 11.0 software was used to organize and code data,and content analysis was performed to analyze data. Results Totally 9 generic categories belonging 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 medication 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 facilitation 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 environment,focus on improving patients’ awareness and ability of self-regulation,strengthen their belief in taking medication,and ultimately ensure the home medication safety for CHF patients.

Key words: Integrated Theory of Health Behavior Change, Chronic Heart Failure, Home Medication, Medication Safety, Qualitative Study, Nursing Care