CAJ | 학술논문

目的：深入分析机械瓣膜置换术后患者过渡期自我管理的真实体验。方法采用质性研究中的现象学分析法，以目的性抽样法选取聊城市人民医院心外科2013年1月至2014年1月接受机械瓣膜置换术后6个月内的患者18例，就患者的自我管理体验进行电话访谈和面对面访谈，对访谈资料进行分析后整理提炼主题。结果机械瓣膜置换术后患者在过渡期主要有以下3个领域的自我管理体验：(1)心理社会领域，包括情绪低落和消极、角色适应不良、缺乏家庭-社会支持；(2)健康行为领域，包括自我护理能力不足、用药依从性降低、失眠和不良生活习惯；(3)环境领域，包括收入限制就医行为、交通不便。结论机械瓣膜置换术过渡期患者存在自我管理困难，需要家人及社会的关心与支持，更需要医护人员及各级医疗机构的关心与支持，以提高其自我管理水平。
목적：심입분석궤계판막치환술후환자과도기자아관리적진실체험。방법채용질성연구중적현상학분석법，이목적성추양법선취료성시인민의원심외과2013년1월지2014년1월접수궤계판막치환술후6개월내적환자18례，취환자적자아관리체험진행전화방담화면대면방담，대방담자료진행분석후정리제련주제。결과궤계판막치환술후환자재과도기주요유이하3개영역적자아관리체험：(1)심리사회영역，포괄정서저락화소겁、각색괄응불량、결핍가정-사회지지；(2)건강행위영역，포괄자아호리능력불족、용약의종성강저、실면화불량생활습관；(3)배경영역，포괄수입한제취의행위、교통불편。결론궤계판막치환술과도기환자존재자아관리곤난，수요가인급사회적관심여지지，경수요의호인원급각급의료궤구적관심여지지，이제고기자아관리수평。
Objective To deeply analyze the self-management experience during the postoperative transi-tional period among patients with mechanical heart valve replacement and provide guidelines for transitional care of postoperative patients.Methods Phenomenological research methods were used.Eighteen patients with mechanical heart valve replacement received in-depth telephone interviews and face to face interviews during the postoperative transitional period,the themes were extracted after organized the data.Results Three themes were refined on the psychosocial,health behavior and environmental fields,respectively.(1 ) psychosocial experience included role maladaptation,lack of family and social support.(2)health behavior experience included inadequate self-care ability,decreased medication compliance,insomnia and unhealthy life style.(3)environmental experience included low income that inhibited care-seeking behavior,and incon-venient transportation.Conclusion Patients with mechanical heart valve replacement during transition period have self-care difficulties,and really need care and support from family and social,and also from medical staffs and medical institutions,to improve their self-management ability.