心脏移植术后患者自我效能水平对自我管理行为影响体验的质性研究  

Influence of self-efficacy on self-management behaviors of patients after heart transplantation:a qualitative study

作　　者：孙胜楠 李漓[1] 程雅兰 苏建薇[3] 陈斌彬 Sun Shengnan;Li Li;Cheng Yalan;Su Jianwei;Chen Binbin(Clinical Nursing Education and Research Section,Zhujiang Hospital,Southern Medical University,Guangzhou 510282,Guangdong Province,China;School of Nursing,Southern Medical University,Guangzhou 510515,Guangdong Province,China;Zhongshan People's Hospital,Zhongshan 528403,Guangdong Province,China.)

机构地区：[1]南方医科大学珠江医院临床护理教研室,广东广州510282 [2]南方医科大学护理学院,广东广州510515 [3]中山市人民医院心胸外科,广东中山528403

出　　处：《现代临床护理》2024年第12期35-41,共7页Modern Clinical Nursing

摘　　要：目的探讨心脏移植术后患者自我效能水平对自我管理行为影响的体验,为制订自我管理支持策略提供依据。方法应用描述性质性研究方法,采用目的抽样法,于2024年5月—6月选取12例中山市某三级甲等综合医院心脏移植术后患者进行半结构式访谈并收集资料。应用NVivo 14.0软件和内容分析法分析访谈资料并提炼主题。结果共提炼出2个主题、6个副主题:心脏移植患者效能期望水平差异影响自我管理的信心,包括直接经验水平高低不一、对病友的间接经验体验不同、医务人员和家属的口头说服有益、生理及情绪状态调适能力存在差异;心脏移植患者积极的结果期望强化自我管理行为,包括康复效果影响自我管理行为依从性、成功回归社会促进自我管理行为的维持。结论心脏移植患者效能期望、结果期望影响其自我管理信心与行为,应制定针对性策略增强心脏移植患者自我效能,从而提高其自我管理行为。Objective To explore the influence of self-efficacy on self-management behaviors in patients undergoing heart transplantation to provide guidance for proposing self-management support strategies.Methods Using descriptive qualitative research approach,a purposive sample of 12 patients undergoing heart transplantation was recruited from a tertiary general hospital in Zhongshan City from May to June,2024.Semi-structured interviews were conducted among the participants.The NVivo 14.0 was used to analyse the data and content analysis method was employed to extract the themes.Results Two main themes and six sub-themes were extracted.The themes included patients'self-management confidence influenced by the differences in efficacy expectations and patients'selfmanagement behaviors enhanced by positive outcome expectations.The former comprised four sub-themes:different level of mastery experience,varied experience of vicarious experience,beneficial verbal persuasion by healthcare professionals and family members,and different ability to adjust emotion and physiological state.The latter encompassed two sub-themes:adherence to self-management behaviors influenced by rehabilitation outcomes and maintenance of self-management behaviors promoted by successful return to society.Conclusion Both efficacy expectations and outcome expectations of patients undergoing heart transplantation influence their confidence and self-management behaviors.Targeted strategies should be developed to enhance patients’self-efficacy and improve their self-management behaviors.

关 键 词：自我效能 自我管理行为 心脏移植 患者 描述性质性研究 

分 类 号：R473.6[医药卫生—护理学]