摘要
目的探索心房颤动患者参与抗凝治疗决策的冲突困境及影响因素,为了解其参与决策体验及制定个性化决策辅助方案提供依据。方法采用现象学研究法,对15名心房颤动抗凝治疗患者进行半结构式访谈,运用Colaizzi 7步分析法对资料进行分析。结果心房颤动患者参与抗凝治疗决策冲突体验包括决策不确定感高、决策过程中负性情绪突出;影响因素包括决策所需知识欠缺、对医方缺乏信任、社会支持不足。结论心房颤动患者参与抗凝治疗存在决策冲突,各种因素均对其决策冲突过程产生影响,护士应辅助制订恰当的治疗决策方案,以期最大程度地避免决策冲突,减少决策后悔,提升患者决策质量。
Objective To explore the conflict dilemma and influencing factors of atrial fibrillation patients’involvement in anticoagulant therapy decision-conflicts,and to provide a basis for understanding patients’experience of participating in decision-making and making personalized decision assistance programs.Methods Phenomenological research method was used to conduct semi-structured interviews with 15 patients receiving anticoagulation therapy for atrial fibrillation.The data were analyzed by Colaizzi 7-step analysis method.Results The conflict experience included high uncertainty in decision-making and prominent negative emotion in decision-making process.The influencing factors included the lack of knowledge required for decision-making,the lack of trust in doctors and inadequate social support.Conclusions There exists decision-conflict in the participation of patients with atrial fibrillation in anticoagulant therapy,and all kinds of factors influence the process of decision-conflict.The nurses should assist the patient in making appropriate treatment decisions,so as to avoid decision-conflict,reduce decision regret,and improve the quality of patients’decision.
作者
谢梦珂
杨巧芳
阙静
郭凤娟
延明鑫
XIE Mengke;YANG Qiaofang;QUE Jing;GUO Fengjuan;YAN Mingxin(School of Nursing,Henan University of Chinese Medicine,Zhengzhou 450046,Henan Province,China;Department of Nuring,Fuwai Central China Cardiovascular Hospital,Zhengzhou 451464,Henan Province,China)
出处
《解放军护理杂志》
CSCD
北大核心
2020年第12期18-21,共4页
Nursing Journal of Chinese People's Liberation Army
基金
2019年河南省医学科技攻关计划省部共建项目(SB201901100)。
关键词
心房颤动
抗凝治疗
决策冲突
质性研究
atrial fibrillation
anticoagulant therapy
decision-conflict
qualitative research
