乳腺癌患者内分泌治疗服药依从性影响因素的质性研究  

A qualitative research of influence factors of medication adherence for breast cancer patients with hormonal therapy

作　　者：朱叶卉[1] 裘佳佳[2] 胡雁[1] 陆箴琦[2] 黄嘉玲[2] 

机构地区：[1]复旦大学护理学院,上海200032 [2]复旦大学附属肿瘤医院护理部,上海200032

出　　处：《中华现代护理杂志》2014年第24期3053-3057,共5页Chinese Journal of Modern Nursing

基　　金：2012年上海市卫生局局级科研项目（2012-96）;复旦大学护理科研项目（FNSF201102）

摘　　要：目的：探讨接受内分泌治疗的乳腺癌患者服药依从性的影响因素。方法采用关键知情人访谈法，对15名医务人员实施个人深入访谈，了解乳腺癌患者服药依从性的影响因素。结果乳腺癌患者内分泌治疗服药依从性受到患者自身、疾病情况、治疗情况、家庭以及医疗照护系统多方面因素的影响。患者在不良反应与疗效之间的权衡决定其服药依从性，目前乳腺癌患者对内分泌治疗的认识尚不够充分，在内分泌治疗期间缺乏实时监测指标和与专业人员的沟通渠道。结论在未来的护理实践和研究中，应采取个体化的有效措施改善乳腺癌患者内分泌治疗的服药依从性。Objective To explore the influence factors of medication adherence of hormonal therapy for breast cancer patients .Methods In-depth interviews were conducted to 15 healthcare professionals . Results The results of in-depth interviews for breast cancer experts showed that medication adherence of hormonal therapy of breast cancer patients was influenced by multiple factors , including patient-related, condition-related, therapy-related, family related and health system related factors .The balance between side effects and efficacy were the key point of medication adherence for breast cancer patients .The awareness on the importance of hormonal therapy was insufficient among breast cancer patients .Lack of dynamic monitoring indicators and channels to communicate with health professionals were the most significant influence on the adherence to hormonal therapy .Conclusions It is recommended that individualized and effective interventions should be implored to improve the adherence to hormonal therapy for breast cancer patients .

关 键 词：乳腺肿瘤 内分泌治疗 服药依从性 质性研究 

分 类 号：R737.9[医药卫生—肿瘤]