风险管理视角下心血管疾病患者发病风险沟通体验质性研究  

Qualitative research on cardiovascular disease patients'risk communication experience from perspective of risk management

作　　者：梅兴燕 吕美荣[1] 李玉荣[2] 武甜甜 杨淑红 贾庆运 张肖 Mei Xingyan;Lyu Meirong;Li Yurong;Wu Tiantian;Yang Shuhong;Jia Qingyun;Zhang Xiao(Department of Nursing,Linyi People's Hospital,Linyi 276000,China;Sixth Ward Division,Department of Obstetrics,Linyi People's Hospital,Linyi 276000,China;Department of Trauma Surgery,Linyi People's Hospital,Linyi 276000,China)

机构地区：[1]临沂市人民医院护理部,临沂276000 [2]临沂市人民医院产科六病区,临沂276000 [3]临沂市人民医院创伤外科,临沂276000

出　　处：《国际医药卫生导报》2024年第3期519-524,共6页International Medicine and Health Guidance News

基　　金：山东省自然科学基金青年项目(ZR2021QH230);临沂市重点研发计划(医学类)项目(2022YX0115)。

摘　　要：目的探讨心血管疾病患者对疾病发病风险沟通的感受及内心体验,明确患者风险管理的需求和期望。方法采用目的抽样法,选取2022年9月至11月在临沂市人民医院心血管内科就诊的12例心血管疾病患者进行深度访谈,其中,男7例,女5例,年龄范围42~71岁,并运用Colaizzi 7步分析法提取主题词并进行分析。结果共提炼3个主题及所属的8个亚主题:风险沟通的迷茫与困惑(对疾病沟通缺乏重视意识、沟通信息的缺失和遗忘、有效信息区别困难);风险沟通的态度与应对(主动被动沟通、趋利避害式沟通、替代性沟通);风险沟通的认知与期望(风险沟通的信息需求、期望多样化的沟通形式)。结论医护人员应针对其沟通过程中的不良行为,转变患者的风险沟通认知,提供个体化风险沟通策略,进而提高其疾病风险感知与风险管理能力。Objective To explore the feelings and inner experiences of cardiovascular disease patients on risk communication,and to clarify the needs and expectations of patients on risk management.Methods From September to November 2022,a total of 12 patients with cardiovascular diseases treated at Department of Cardiology,Linyi People's Hospital were selected by the purposive sampling for semi-structured interviews,including 7 males and 5 females.They were 42 to 71 years old.The data were analyzed by the Colaizzi's analysis method,and the theme-words were extracted.Results A total of 3 themes and 8 subthemes were extracted:including confusion of risk communication(lack of awareness,loss and forgetting of communication information,and difficulty in distinguishing information),risk communication attitude and response(active and passive communication,drawing on advantage and avoiding disadvantage communication,and alternative communication),risk communication cognition and expectation(risk communication information requirements and expecting diverse communication).Conclusions Medical staff should change patients'risk communication cognition and provide individualized risk communication strategies to improve their risk management ability.

关 键 词：风险管理 心血管疾病 风险沟通 质性研究 

分 类 号：R473.5[医药卫生—护理学]