基于质性研究构建高血压患者服药自我管理指导方案  

Construction of a self-medication management protocol for patients with hypertension on the basis of qualitative study

作　　者：高伟[1] 赵秋利[1] 李明慧[1] 杨柳[1] 

机构地区：[1]哈尔滨医科大学护理学院,黑龙江哈尔滨150086

出　　处：《护理学杂志》2014年第10期5-8,共4页

摘　　要：目的探究高血压患者服药指导方案,为优化高血压患者的服药行为提供理论依据及指导方向。方法采用扎根理论研究方法对12例高血压服药患者进行访谈、录音,同时对录音资料进行转录,采用Strass和Corbin的扎根理论分析资料的方法进行开放式编码、轴心式编码、选择式编码。结果高血压患者服药自我管理轨迹包含迷茫择药期、间断服药期、服药警觉期、服药认知期和坚持服药期,在此模式的基础上构建出高血压患者服药自我管理指导方案。结论高血压患者的服药自我管理行为轨迹是一个连续的、动态的、逐步推进又可反复变化的复杂过程,在此模式指导下构建的高血压患者服药自我管理指导方案,可依据患者的需求有针对性地给予信息支持,避免服药指导的盲目性。Objective To explore a self-medication management protocol for patients with hypertension and provide a theoretical basis for improving their self medication. Methods Twelve hypertension patients were interviewed and recorded on self-medication. Then the records were transcribed and analyzed with open coding, axial coding and selective coding according to the grounded theory put forward by Strass and Corbin. Results The trajectory of hypertension patients＇ self-medication can be divided into a period of choo- sing medicine, an intermittent medication period, a medicine vigilance period, a medication cognition period, and a medication ad- herence period and a protocol was constructed on this model. Conclusion The self-medication management of hypertension patients is a continuous, dynamic, progressive and changeable process. The guideline constructed on such basis can cater to patients＇ needs and avoid the blindness of guidance.

关 键 词：高血压 服药自我管理 质性研究 扎根理论 指导方案 

分 类 号：R471[医药卫生—护理学] R197.323[医药卫生—临床医学]