社区慢性心力衰竭患者生存质量的质性研究  

A Qualitative Research of Quality of Life in Patients with Chronic Heart Failure in the Community

作　　者：张琦[1] 许志红[2] 王瑞英[3] 张玲[4] 杨月青 张爱琳 

机构地区：[1]山西医科大学 [2]山西医科大学第二医院社区卫生服务指导中心 [3]山西医科大学第二医院心内科 [4]山西医科大学第二医院住院部 [5]太原市尖草坪区南寨社区卫生服务中心,030000

出　　处：《中华全科医学》2012年第6期922-924,共3页Chinese Journal of General Practice

基　　金：山西省科技厅攻关项目(20100311098-6)

摘　　要：目的了解社区慢性心力衰竭患者生存质量的现状及影响因素,为提高其生存质量、开展科学有效的社区慢性心力衰竭管理提供参考依据。方法采用现象学研究方法,对10例社区慢性心力衰竭患者进行半结构式访谈,并用现象学分析法对资料进行分析。结果通过访谈归纳出6个主题:①患者对生存质量内涵的理解;②躯体症状;③自我管理能力;④悲观、抑郁等不良情绪;⑤家庭成员的支持程度;⑥医疗服务的可及性与连续性。结论社区医务工作者应充分考虑影响患者生存质量的因素,通过开展家庭医生责任制,与患者建立契约关系,为其提供专业、可及、连续的医疗服务,同时鼓励家庭成员给予患者更多的支持,从而提高患者的自我管理能力和生存质量。Objective To investigate the quality of life（QOL） in patients with chronic heart failure（CHF） in the community and its influencing factors,to improve the quality of life in patients and provide a reference of scientific and effective management for patients with CHF in the community.Methods Phenomenology method was used in the study and a semi-structure interview was conducted on 10 patients with CHF in the community.Phenomenology method was used for data analysis.Results Six themes were concluded,including recognition to the quality of life;physical symptoms;self-government skills;negative emotions,such as pessimism and depression;degree of family support;accessibility and continuity of medical service.Conclusion Medical staff in the community should fully consider these influencing factors.To improve self-government skills and the quality of life in patients with CHF,the family doctor responsibility system should be carried out,contractual relationship with patients should be built,professional,accessibility,continuity of medical service should be provided,family members＇provide further support for patients should be encouraged.

关 键 词：慢性心力衰竭 生存质量 影响因素 质性研究 

分 类 号：R541.6[医药卫生—心血管疾病]