耐药肺结核患者服药依从性影响因素的质性研究  

Qualitative study on influencing factors of drug compliance in patients with drugresistant pulmonary tuberculosis

作　　者：席明霞 屈婧 肖美慧 傅满姣[1] 谢小辉[1] 曹小华[1] XI Mingxia;QU Jing;XIAO Meihui;FU Manjiao;XIE Xiaohui;CAO Xiaohua(Drug-resistant Tuberculosis Department,Changsha Central Hospital,Changsha,Hunan 410004,P.R.China;School of Nursing,University of South China,Hengyang,Hunan 421001,P.R.China;School of Nursing,Hunan University of Traditional Chinese Medicine,Hunan 410208,P.R.China)

机构地区：[1]长沙市中心医院耐药结核科,长沙410004 [2]南华大学护理学院,湖南衡阳421001 [3]湖南中医药大学护理学院,长沙410208

出　　处：《华西医学》2021年第1期50-54,共5页West China Medical Journal

基　　金：北京结核病诊疗技术创新联盟CTCTC科研项目(2017KYJJ008);长沙市科技计划项目(kq1801146);南华大学研究生科研创新项目(2020CX17)。

摘　　要：目的探讨耐药肺结核患者服药依从性的影响因素。方法采用现象学研究方法,对2019年4月—8月入住长沙市中心医院耐药结核科的19例耐药肺结核住院患者进行半结构式深入访谈,对资料进行编码、分析、整理、归纳和提炼主题。结果耐药肺结核患者服药依从性的影响因素可分为促进因素和阻碍因素两大类。促进因素包括患者自身因素(重视服药治疗、渴望获得服药知识、设法解决服药困难)及社会因素(家庭支持)。阻碍因素包括患者自身因素(结核病相关知识缺乏、负性情绪严重)、药物治疗因素(担心药物不良反应、用药方案复杂)及社会因素(经济负担加重)。结论耐药肺结核患者服药依从性受患者、家属、医务人员及社会环境的影响,护理人员需制定个性化服药计划,提高患者服药依从性。Objective To explore the influencing factors of medication compliance in drug-resistant pulmonary tuberculosis patients.Methods Using phenomenological research methods,a semi-structured in-depth interview was conducted on 19 inpatients with drug-resistant pulmonary tuberculosis admitted to the Drug-resistant Tuberculosis Department of Changsha Central Hospital between April and August 2019,and the data were coded,analyzed,sorted out,summarized,and extracted.Results The influencing factors of medication compliance in patients with drug-resistant pulmonary tuberculosis could be divided into two categories:promoting factors and hindering factors.The promoting factors included the patient’s own factors(emphasis on medication therapy,desire for medication knowledge,and efforts to solve medication difficulties)and social factors(family support).The hindering factors included the patient’s own factors(lack of knowledge about tuberculosis,and severe negative emotions),drug treatment factors(fear of adverse drug reactions,and complicated medication plans),and social factors(increased financial burden).Conclusions Drug compliance of patients with drug-resistant pulmonary tuberculosis is affected by patients,family members,medical staff and social environment.Nursing staff should develop personalized drug plan to improve the patients’drug compliance.

关 键 词：耐药结核病 服药依从性 质性研究 

分 类 号：R521[医药卫生—内科学]