慢性心力衰竭患者体重管理依从性影响因素的质性研究  

Qualitative research on the influencing factors of compliance of weight management of chronic heartfailure patients

作　　者：鞠阳[1] 汪小华[1] 仇静波[2] 庞建红 阮爱超[2] 赵欣[1] 

机构地区：[1]苏州大学附属第一医院心内科,215006 [2]苏州大学护理学院,215006 [3]江苏盛泽医院护理部,苏州215228

出　　处：《中华现代护理杂志》2012年第34期4110-4113,共4页Chinese Journal of Modern Nursing

基　　金：国家自然科学基金资助项目（81170173）

摘　　要：目的了解影响慢性心力衰竭患者体重管理依从性的因素，探索提高其依从性的干预措施。方法运用深度访谈法，收集8例慢性心力衰竭患者体重管理依从性的资料，应用现象学分析法进行分析。结果体重管理依从性的主要影响因素为知识缺乏、行为习惯、并发症、身体舒适度降低和疾病不确定感。结论加强健康教育、心理疏导以降低疾病不确定感，提高身体舒适度，发挥家庭支持系统的作用，将有利于提高慢性心力衰竭患者体重管理依从性。Objective To understanding the influencing factors of compliance of weight management of chronic heart failure patients＇ so as to explore the intervention measures to improve the compliance. Methods Depth interviews was used, totals of eight chronic heart failure patients＇ compliance information with weight management were collected and the results were analyzed by a phenomenological analysis method. Results The main influencing factors of weight management compliance of chronic heart failure patients were the lacking of knowledge, behavior habit, complication, reduction of physical comfort and sense of uncertainty in illness. Conclusions Strengthening health education, psychological counseling to decrease the uncertainty in illness, improving physical comfort, playing the role of the family support system, will be helpful to improve chronic heart failure patients＇ compliance of weight management.

关 键 词：心力衰竭 体重管理 依从性 质性研究 

分 类 号：R541.6[医药卫生—心血管疾病]