發(fā)布時(shí)間：2018-03-14 14:47

  本文選題：冠心病　切入點(diǎn)：患病體驗(yàn)　出處：《河北大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:本研究從冠心病患者角度出發(fā),了解患者在長(zhǎng)期帶病生存狀態(tài)下對(duì)冠心病的生理、心理、醫(yī)患互動(dòng)及需求等方面的真實(shí)體驗(yàn),探索冠心病患者患病體驗(yàn)對(duì)二級(jí)預(yù)防的影響。以期得出有意義的結(jié)論,優(yōu)化冠心病二級(jí)預(yù)防實(shí)施策略,為提高冠心病患者二級(jí)預(yù)防依從性提供依據(jù)。方法:本研究采用質(zhì)性研究中現(xiàn)象學(xué)的研究方法,通過目的抽樣選取某三甲醫(yī)院心內(nèi)科病房的11位冠心病患者,依據(jù)事先制定的訪談提綱進(jìn)行一對(duì)一半結(jié)構(gòu)式深入訪談,對(duì)訪談資料進(jìn)行轉(zhuǎn)錄后,采用Colaizzi分析方法對(duì)資料進(jìn)行整理和分析,提取主題。結(jié)果:本研究共提取5個(gè)主題,每個(gè)主題有包含若干次主題:主題一:對(duì)疾病的認(rèn)知不足包含次主題為:對(duì)首發(fā)癥狀的感知不敏感、對(duì)病情的不以為然心理、癥狀減輕時(shí)的盲目樂觀、醫(yī)生病情交代的策略性、無效的健康宣教。主題二:病情加重后的態(tài)度轉(zhuǎn)變包含次主題為:飽受病情反復(fù)的生理折磨、疾病反復(fù)的無奈心理、他人不良事件帶來的沖擊、疾病復(fù)發(fā)后重視程度的提高、長(zhǎng)期帶病患者的心態(tài)趨于平和。主題三:自行調(diào)整藥物包含次主題為:癥狀減輕后自行停藥、非專業(yè)人員更改藥物、對(duì)藥物副作用的擔(dān)憂、藥物信息及目的不明確。主題四:不良習(xí)慣糾正的困難包含次主題為:長(zhǎng)期養(yǎng)成的不良習(xí)慣不易糾正、外在環(huán)境誘惑與內(nèi)在動(dòng)力不足。主題五:對(duì)專業(yè)人員疾病教育的期待包含次主題為:疾病相關(guān)知識(shí)的需求、出院后定期針對(duì)性的隨訪、健康教育規(guī)范化。結(jié)論:1.冠心病患者的生理及心理體驗(yàn)均會(huì)影響其對(duì)冠心病二級(jí)預(yù)防的重視和依從程度,醫(yī)務(wù)工作者應(yīng)關(guān)注患者的患病體驗(yàn),制定個(gè)體化的二級(jí)預(yù)防實(shí)施策略。2.醫(yī)患溝通對(duì)冠心病患者對(duì)待疾病的態(tài)度及二級(jí)預(yù)防意識(shí)起到關(guān)鍵性作用,醫(yī)護(hù)人員需要講究溝通技巧,避免患者對(duì)疾病產(chǎn)生誤解。3.冠心病患者在執(zhí)行二級(jí)預(yù)防藥物及非藥物措施中存在誤區(qū)及困難,醫(yī)護(hù)人員需要做好預(yù)測(cè)和防范,以提高患者的依從性。4.冠心病患者對(duì)疾病的相關(guān)知識(shí)、健康宣教及院外隨訪有所需求,醫(yī)護(hù)人員應(yīng)開展相關(guān)工作內(nèi)容。
[Abstract]:Objective: This study from the perspective of patients with coronary heart disease, to understand the mental patients in physiology, long-term survival in patients with coronary heart disease state, doctor-patient interaction and demand, the real experience of patients with coronary heart disease, explore the prevalence of the experience of two grade prevention. In order to draw meaningful conclusions, optimization of coronary heart disease in two primary prevention strategies for improve the coronary heart disease patients with two grade prevention compliance basis. Methods: This study adopts the research methods of phenomenology in qualitative research, selected 11 patients with coronary heart disease in Department of cardiology ward in a hospital by purposive sampling, in-depth interviews of a semi-structured interview outline based on pre established, the transcription of the interview data, the Colaizzi analysis of the data collection and analysis, extraction of the subject. Results: This study extracted a total of 5 themes, each theme contains several themes: theme: The lack of knowledge of disease including the theme: the first symptom is not sensitive to the perception of psychological, not to regard it as right of the disease, symptoms of blind optimism, strategic doctor explained, ineffective health education. Two themes: change after illness attitude including the theme: the physiological disease repeatedly tortured. Recurrent disease helpless psychology, other adverse events impact disease recurrence after increased emphasis, patients with long-term sick mentality tend to be peaceful. Theme three: adjust the drug containing theme is: reducing the symptoms after their withdrawal, non professional personnel to change the drugs, the side effects of the drugs concerns, drug information and the purpose is not clear. The four theme: bad habits to correct the difficulties including the topic: long habit is not easy to correct bad habits, lack of external environment and internal power. Temptation theme five: the professional personnel The disease education theme is expected to contain: the disease related knowledge needs after discharge for regular follow-up, standardized health education. Conclusion: the physiological and psychological experience of 1. patients with coronary heart disease will affect on the two grade prevention of coronary heart disease and the importance of the degree of compliance, medical workers should pay attention to psychological experience of patients, develop two individual preventive.2. implementation strategy of doctor-patient communication and two grade prevention to treat disease in patients with coronary heart disease awareness plays a key role, health care workers need to pay attention to communication skills, to avoid misunderstanding of.3. in patients with coronary heart disease patients with misunderstandings and difficulties in the implementation of the two grade prevention of drug and non drug measures of disease, health staff good prediction and prevention, in order to improve the knowledge of.4. compliance in patients with coronary heart disease in patients with the disease, health education and hospital follow-up has needs, medical personnel should be open Exhibition related work.

【學(xué)位授予單位】：河北大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R473.5

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本文編號(hào)：1611680