慢性乙型病毒性肝炎患者依从性影响因素的质性研究  

Qualitative research in factors affecting the compliance of patients with chronic hepatitis B

作　　者：杨丽翠[1] 孙玉梅[1] 邢卉春[2] 刘晨云[2] 

机构地区：[1]北京大学护理学院,100083 [2]北京地坛医院肝炎四科

出　　处：《中国实用护理杂志》2008年第7期17-20,共4页Chinese Journal of Practical Nursing

摘　　要：目的了解慢性乙型病毒性肝炎患者依从性的影响因素，为提高患者的依从性提供依据。方法采用访谈法对9例慢性乙肝患者进行个案访谈，运用现象学分析法对资料进行分析。结果通过访谈归纳出3个主题：（1）医嘱的可执行性；（2）患者自身因素的影响，包括疾病相关知识、对疾病的重视程度和以往的行为习惯；（3）社会因素的影响，包括经济状况、生活压力、家人的关怀程度以及专业人员的监督和指导。结论为了增强慢性乙肝患者的治疗依从性，使患者自觉的采纳与医嘱相一致的行为，应注重增强医嘱与健康教育的可执行性，关注认知、心理、社会因素对依从性的影响。Objective To explore the factors influencing the patients treatment compliance infected with chronic hepatitis B virus, and provide some useful advices to improve patients compliance. Methods Data were collected through deep interviews with 9 patients and analyzed using a phenomenological hermeneutic method. Results Using generic analysis, the factors influencing patients compliance fell into three themes： （ 1 ） The enforceability of the doctor＇s advice; （2）The factors of the patients their own, including the disease-related knowledge, the realization of how harmful the disease is, and past behavior habits; （3）The social factors, including economic situation, pressure of life, family care, and the supervision and guidance of health care workers. Conclusions In order to make the patients consciously adopt the doctor＇s advice, health workers should pay more attention to strengthen the enforceability of the doctor＇s advice and health education, and focus on the impact of cognitive, psychological and social factors on patients＇ compliance.

关 键 词：质性研究 慢性乙型病毒性肝炎 依从性 健康教育 

分 类 号：R51[医药卫生—内科学] R473[医药卫生—临床医学]