慢性丙型肝炎患者对聚乙二醇干扰素使用态度的质性研究  

A Qualitative Research on Attitudes towards Peglated Interferon Treatment in Patients with Chronic Hepatitis C

作　　者：牛小霞[1] 陆志雯[2] 王玲[1] 孟园[1] 崔燕萍[3] 

机构地区：[1]解放军第302医院肝纤维化无创诊疗中心,北京100039 [2]解放军空军总医院胸外科,北京100036 [3]解放军第302医院护理部

出　　处：《解放军护理杂志》2011年第14期6-8,12,共4页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的了解慢性丙型肝炎患者在采用聚乙二醇干扰素治疗前后态度的转变。方法采用质性研究Edmund Husserl观点构成的现象学方法为指导,采用个人访谈法,深入访问在某三级甲等传染病医院住院接受聚乙二醇干扰素治疗的8位慢性丙型肝炎患者,运用现象学分析法对资料进行分析。结果患者对干扰素的态度包括:恐惧和矛盾心理,逐渐接受治疗,惧怕不良反应,需要交流,愿意配合医护人员有效控制病情。通过医护人员的有效宣传,可减轻患者对干扰素治疗的恐惧心理,增加对慢性丙型肝炎的认知,转变治疗前对干扰素不良反应的态度,从而愿意接受治疗。结论为了增强慢性丙型肝炎患者的治疗依从性,使患者自觉接收长效干扰素的治疗,应注重加强护理干预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 observe the changing of attitudes towards peglated interferon-alpha treatment in patients with chronic hepatitis C.Methods Eight patients with chronic hepatitis C receiving peglated interferon-alpha treatment in a grade-Ⅲ level-A hospital for infectious diseases were investigated using personal interviews under the guidance of a qualitative point of view of Edmund Husserl＇s phenomenological method.The data were analyzed by phenomenological analytical method.Results The attitudes included fear,ambivalence,gradual acceptation of peglated interferon-alpha treatment,fear of side effects,needs for communication and to be willing to take measurement to prevent the progress of hepatitis C.After interpretation of clinical staffs,the fear of the patients to peglated interferon-alpha was relieved and the cognition of patients towards the hepatitis C was enhanced.In addition,the enrolled patients became willing to accept the antiviral treatment of peglated interferon-alpha.Conclusion To improve patients＇ compliance for long-term peglated interferon-alpha,we should strengthen nursing intervention and health education,also should focus on the effect of cognition,psychology and social factors on compliance.

关 键 词：慢性丙型肝炎 聚乙二醇干扰素 态度 质性研究 

分 类 号：R512.63[医药卫生—内科学] R197.323[医药卫生—临床医学]