基于扎根理论的慢性乙肝患者生命质量的构成因素分析  

Exploring the Constitution of Quality of Life of Patients with Chronic Hepatitis B Based on Grounded Theory

作　　者：朱琳[1] 李瑛 程潇[1] 宋孟娜 王红妹[1] ZHU Lin;LI Ying;WANG Hongmei(School of Public Health,Zhejiang University,Hangzhou,310058,China)

机构地区：[1]浙江大学公共卫生学院社会医学系,浙江杭州310058 [2]西安医学院公共卫生系,陕西西安710021

出　　处：《中国社会医学杂志》2018年第6期578-581,共4页Chinese Journal of Social Medicine

基　　金：国家自然科学基金项目(71573226)

摘　　要：目的了解慢性乙肝患者的生活体验,探索构成患者生命质量的重要因素,为开发中国慢性乙肝患者生命质量量表提供依据。方法运用扎根理论的方法,通过访谈94例慢性乙肝患者,并进一步整理分析访谈资料,提炼出其生命质量构成因素。结果共提炼了63个与慢性乙肝生命质量相关的初始概念,发展了15个主要范畴,构建了由自我-生理、自我-心理、社会和环境领域组成的慢性乙肝患者生命质量四因素模型。结论慢性乙肝患者生命质量构成因素复杂,为提高慢性乙肝患者的生命质量,除抗病毒治疗外,其他心理、社会、环境等方面亦需引起更多的临床重视及社会关注。Objective To understand all aspects of life experiences of patients with chronic hepatitis B(CHB),to explore the important factors that constitute the quality of life(QOL)of these patients,and to provide content evidence for developing the Chinese Chronic Hepatitis B Quality of Life Instrument(CHBQOL).Methods Using the method of grounded theory,94 CHB patients were interviewed,and the data of interviews were then analyzed to extract the components of their QOL.Results 63 initial QOL related concepts were extracted and then classified into15 categories.The four-factor model for QOL of CHB patients,composed of self-physiology,self-psychology,society and environment domains,was ultimately constructed.Conclusion The QOL of CHB patients is composed of a variety of complex factors.Besides anti-virus therapy,more clinical attention and social concern are supposed to be attracted to psychological,social and environmental issues in order to improve the QOL of CHB patients.

关 键 词：扎根理论 深入访谈 慢性乙肝 生命质量 定性研究 

分 类 号：R195[医药卫生—卫生统计学] R512.62[医药卫生—卫生事业管理]