摘要
目的:分析老年心血管代谢性共病病人多重用药决策偏好的类型与特征,为个性化用药管理及干预策略提供依据。方法:基于COM-B模型,运用描述性质性研究方法,采用目的性抽样法选取18例老年心血管代谢性共病病人开展半结构化访谈。借助内容分析法处理访谈资料,提炼归纳标签体系,构建可视化用户画像。结果:病人用药决策偏好的用户画像标签涵盖基本特征、能力、机会、动机4个维度;画像类型分为参与决策型、自主探索型、依赖支持型和被动/抵触型4类。结论:老年心血管代谢性共病病人多重用药决策偏好呈现异质性与多样性的特点。医护人员应针对不同类型偏好特征,制定个性化用药方案及管理策略,改善病人用药行为。
Objective:To analyze the types and characteristics of decision preferences regarding polypharmacy among elderly patients with cardiometabolic multimorbidity(CMM),and provide a basis for personalized medication management and intervention strategies.Methods:Based on the capability opportunity motivation⁃behavior model(COM⁃B),a descriptive qualitative research approach was employed.Purposive sampling was used to recruit 18 elderly patients with cardiometabolic multimorbidity for semi⁃structured interviews.Interview data were analyzed through content analysis to extract and summarize a labeling system,and a visual user persona was constructed accordingly.Results:The user persona labels of medication decision preferences covered four dimensions:basic characteristics,capability,opportunity,and motivation.The personas were classified into four types:participation decision⁃making type,independent exploration type,dependent support type,and passive/resistant type.Conclusions:Decision preferences for polypharmacy among elderly CMM patients demonstrate heterogeneity and diversity.Medical staff should formulate personalized medication plans and management strategies based on different preference types to improve patients′medication behavior.
作者
唐惠子
陶伏莹
陈丽丽
侯丽丽
田莹莹
TANG Huizi;TAO Fuying;CHEN Lili;HOU Lili;TIAN Yingying(Women′s Hospital of Nanjing Medical University/Nanjing Women and Children′s Healthcare Hospital,Jiangsu 210000 China)
出处
《护理研究》
北大核心
2026年第5期756-762,共7页
Chinese Nursing Research
基金
南京医科大学科技发展基金项目,编号:NMUB20250030。
