癌痛病人服药不依从原因的质性研究  

Qualitative study on causes of medication non-compliance in cancer pain patients

作　　者：欧娜 胡小萍 綦三阳 唐三元 OU Na;HU Xiaoping;QI Sanyang;TANG Sanyuan(The Affiliated Nanhua Hospital,Hengyang Medical School,University of South China,Hunan 421002 China)

机构地区：[1]南华大学衡阳医学院附属南华医院,421002

出　　处：《全科护理》2022年第31期4447-4450,共4页Chinese General Practice Nursing

基　　金：湖南省卫生健康委一般指导性课题项目,编号:202114011133。

摘　　要：目的:了解癌痛病人服用阿片类止痛药物的真实经历及感受,探讨影响其服药不依从的原因,为寻求更高效的服药管理策略提供依据。方法:采用质性研究中现象学研究方法,对12例癌痛服药不依从病人进行半结构式访谈,采用Colaizzi现象学访谈资料7步分析法对原始资料进行分析。结果:癌痛病人服药不依从的主要原因包括对药物认知的误区、对疼痛认知的误区、负性情绪的影响、提醒监督机制缺乏、经济负担加重。结论:癌痛病人服药依从性偏低,医护人员应根据影响其服药不依从性的原因有针对性地提供相应服药管理策略,以期提高病人的服药依从性。Objective:To understand the real experience and feelings of cancer pain patients who take opioid analgesics,and to explore the reasons affecting their non-compliance with medication,so as to provide a basis for seeking more efficient medication management strategies.Methods:Semi-structured interviews were conducted on 12 cancer pain patients who did not follow the medication by phenomenological method in qualitative research.The original data were analyzed by seven-step analysis method of Colaizzi phenomenological interview data.Results:The main reasons for cancer pain patients′ non-compliance include misunderstanding of drug cognition,misunderstanding of pain cognition,influence of negative emotions,lack of reminder supervision mechanism,and increased economic burden.Conclusion:The medication compliance of cancer pain patients is low.Medical staff should provide corresponding medication management strategies according to the reasons that affect their medication non-compliance,in order to improve the medication compliance of patients.

关 键 词：癌痛 服药依从性 质性研究 

分 类 号：R473.73[医药卫生—护理学]