摘要
目的:基于计划行为理论,探讨影响患者肺功能检查配合欠佳的因素,为构建配合欠佳患者肺功能检查方案和提高肺功能检查质量提供依据。方法:采用质性研究中的现象学研究方法,通过目的抽样法抽取大理州人民医院2024年6—8月肺功能检查配合欠佳的15例患者为研究对象,进行半结构式访谈,运用Colaizzi七步分析法分析访谈资料。结果:结合计划行为理论提炼出3个主题,包括行为态度(疾病负性情绪、缺乏对疾病的重视、肺功能专科检查认知不足)、主观规范(医护支持、社会角色影响、同伴效应)和知觉行为控制(检查过程中的不适感、沟通环境不佳、对检查指导的需求)。结论:在提高患者对肺功能检查认知、减轻不适感、缓解心理压力的基础上,根据患者需求提供个性化的检查指导是提高肺功能检查患者配合度的重要方式。
Objective:This study explores the influencing factors of patients with poor cooperation in pulmonary function tests based on the Theory of Planned Behavior,aiming to provide a basis for constructing a pulmonary function test plan for such patients and improving the quality of pulmonary function tests.Methods:The phenomenological research method in qualitative research was adopted.Fifteen patients with poor cooperation in pulmonary function tests from June to August 2024 in Dali Prefecture People’s Hospital were selected as the research objects through purposive sampling.Semi-structured interviews were conducted,and the interview data was analyzed using Colaizzi’s seven-step analysis method.Results:Combining with the Theory of Planned Behavior,3 themes were extracted,including behavioral attitude(negative emotions towards the disease,lack of attention to the disease,insufficient understanding of pulmonary function specialized examinations),subjective norms(medical support,influence of social roles,peer effect),and perceived behavioral control(discomfort during the examination,poor communication environment,need for examination guidance).Conclusion:On the basis of improving patients’understanding of pulmonary function tests,reducing discomfort,and alleviating psychological pressure,providing personalized examination guidance according to patients’needs is an important way to improve patient’s cooperation towards pulmonary function tests.
作者
张晓丽
杨四本
李秀萍
沙丽
段志珍
李莉
Zhang Xiaoli;Yang Siben;Li Xiuping;Sha Li;Duan Zhizhen;Li Li(Department of Respiratory and Critical Care Medicine,Dali Bai Autonomous Prefecture People’s Hospital,Yunnan Province,Dali 671000,China;Department of Anesthesiology,the First People’s Hospital of Dali City,Yunnan Province,Dali 671000,China)
出处
《结核与肺部疾病杂志》
2025年第3期284-290,共7页
Journal of Tuberculosis and Lung Disease
关键词
计划行为理论
肺
诊断检查服务
病人依从
护理
Planned behavior theory
Lung
Diagnostic services
Patient compliance
Nursing care
