CAJ | 학술논문

目的深入了解和探索急性心肌梗死患者从发病到入院期间的应对方式.方法运用横向的回顾性的多个个案的质性研究方法,对10例在武汉市某三级甲等医院被确诊为急性心肌梗死的住院患者进行深入访谈,现场录音并逐字进行笔录,访谈的问卷和研究的概念框架是在急性心肌梗死患者应对能力的文献回顾的基础上发展而来的.质性资料的分析根据主题分析法.结果应对方式直接影响疾病的延误时间,与患者所处的地域、文化和经济环境有关,与所受教育的程度无关.资料分析显示应对方式的主题包括3个次主题:保持以前的生活方式、寻求帮助和确认疾病. 结论需要对危险人群进行系统的疾病方面的知识宣教,提高人们应对疾病的能力,并采取及时有效的措施,减少延误时间,从而减少发病率、死亡率和致残率.
목적 심입료해화탐색급성심기경사환자종발병도입원기간적응대방식.방법 운용 횡향적회고성적다개개안적질성연구방법,대10례재무한시모삼급갑등의원피학진위급성심기경사 적주원환자진행심입방담,현장록음병축자진행필록,방담적문권화연구적개념광가시재급성심기경사환자응대능력적문헌회고적기출상발전이래적.질성자료적분석근거주제분석법.결과 응대방식직접영향질병적연오시간,여환자소처적지역、문화화경제배경유관,여소수교육적정도무관.자료분석현시응대방식적주제포괄3개차주제:보지이전적생활방식、심구방조화학인질병. 결론수요대위험인군진행계통적질병방면적지식선교,제고인문응대질병적능력,병채취급시유효적조시,감소연오시간,종이감소발병솔、사망솔화치잔솔.
Objective To deeply explore coping style of persons with acute myocardial infarctionfrom incidence to hospital admission. Methods A qualitative research with cross-sectional and retro-spective multiple-case study was used. Ten persons with confirmed acute myocardial infarction were recruit-ed from a large hospital in Wuhan. Semi-structured interviews and conceptual framework for this study wereconducted based on a guide developed hom a review of the literatures pertaining to coping ability and ex-pert opinion. Interviews were audiotape recorded and transcribed verbatim. Qualitative date were analyzedby using thematic analysis. Results Coping ability influenced patients" decisions in seeking treatment,associated with patients" geographic area, culture and economy but not education. Analysis of the data re-vealed coping ability included three sub-themes: remaining routine life as usual,seeking resources and helpand confirming the disease. Conclusions Systemic health education should be supplied to high-risk pop-ulation to improve their ability to cope with disease.Effective measures should be adopted to reduce timedelay so that the disease incidence rate,death rate and disability rate will be reduced.