CAJ | 학술논문

目的探讨充血性心力衰竭(congestive heart failure,CHF)患者体质量管理长效依从性的影响因素,为提高患者依从性提供依据.方法应用强化理论对18例参与体质量管理≥6个月的CHF患者进行半结构式访谈,并采用Colaizzi分析程序对访谈资料进行整理和分析.结果归纳为3个主题:(1)体质量管理行为产生的促发因素,包括对疾病的正确感知和自我效能;(2)体质量管理行为维持的正强化因素:包括早期获益、再入院、随访、家人和社会支持;(3)体质量管理行为维持的负强化因素包括长期未获益和身心障碍.上述因素的作用导致50％访谈对象的体质量管理长效依从性呈动态性波动变化.结论医护人员应在随访过程中及时发现CHF患者依从性的变化,分析影响其依从性的因素,从而把握最佳干预时机,采取针对性、多形式、多角度的健康教育以提高依从性.
목적 탐토충혈성심력쇠갈(congestive heart failure,CHF)환자체질량관리장효의종성적영향인소,위제고환자의종성제공의거.방법 응용강화이론대18례삼여체질량관리≥6개월적CHF환자진행반결구식방담,병채용Colaizzi분석정서대방담자료진행정리화분석.결과 귀납위3개주제:(1)체질량관리행위산생적촉발인소,포괄대질병적정학감지화자아효능;(2)체질량관리행위유지적정강화인소:포괄조기획익、재입원、수방、가인화사회지지;(3)체질량관리행위유지적부강화인소포괄장기미획익화신심장애.상술인소적작용도치50％방담대상적체질량관리장효의종성정동태성파동변화.결론 의호인원응재수방과정중급시발현CHF환자의종성적변화,분석영향기의종성적인소,종이파악최가간예시궤,채취침대성、다형식、다각도적건강교육이제고의종성.
Objective To explore factors affecting long-term compliance to weight management (WM) of patients with congestive heart failure (CHF)and to provide evidence for improving patients' compliance.Methods In-depth semi-structured interviews based on reinforcement theory were conducted among 18 CHF patients who received WM intervention over 6 months.The data were analyzed by Colaizzi analysis program.Results Three themes were found:precipitating factors such as the correct perception of disease and self-efficacy,the factors of positive reinforcement such as early gains from WM,readmission,follow-up,family and social support,as well as the factors of negative reinforcement such as gaining nothing during long period,physical and mental disorders.These above factors made long-term compliance to WM of 50％ of the participants dynamic and fluctuant.Conclusions Medical staff should identify patients'compliance at different stages in time during follow-up,analyze the factors that affect their compliance,and then grasp the optimal timing of intervention to perform targeted,multiform and multiple health education to improve compliance.