计划行为理论下老年下肢动脉硬化闭塞症患者自我管理障碍因素的质性研究  

Factors in self-management disorder of arteriosclerotic obliterans of lower extremity in aged patient:a qualitative study based on planned behaviour theory

作　　者：钟梦华 苏连花[1] 谢凤兰[2] 孙明 陈诗丽 Zhong Menghua;Su Lianhua;Xie Fenglan;Sun Ming;Chen Shili(Department of Vascular Surgery,the First Affiliated Hospital,Sun Yat-sen University,Guangzhou 510080,Guangdong Province,China;Department of Nursing,the First Affiliated Hospital,Sun Yat-sen University,Guangzhou 510080,Guangdong Province,China)

机构地区：[1]中山大学附属第一医院血管外科,广东广州510080 [2]中山大学附属第一医院护理部,广东广州510080

出　　处：《现代临床护理》2025年第1期24-29,共6页Modern Clinical Nursing

基　　金：中山大学附属第一医院第二届柯麟护理人才培育计划,项目编号为KLHL2024AB17。

摘　　要：目的以计划行为理论(theory of planned behavior,TPB)为框架,探讨阻碍老年下肢动脉硬化闭塞症(lower extremity arteriosclerosis occlusive,ASO)患者自我管理的因素,为制订自我管理干预方案提供依据。方法应用描述性质性研究法,采用目的抽样法,选取2023年11月—12月本市某三级甲等综合医院13例60岁及以上ASO患者,基于计划行为理论进行半结构式访谈,应用NVivo12软件和质性内容分析法分析访谈资料并提炼主题。结果共提炼出老年ASO患者自我管理障碍因素的3个主题与7个副主题,包括:自我管理行为态度消极(对疾病存在负面情绪、对自我管理重要性缺乏认识),自我管理行为主观规范不强(家庭支持不足、社会支持不足),自我管理行为的知觉行为控制能力较低(自我管理知识不足及自理能力欠缺、面临角色冲突、多病共存)。结论老年ASO患者在自我管理过程存在障碍因素,应制定针对性干预措施并实施,以提高其自我管理能力。Objective To explore the factors of self-management disorders in aged patients with the arteriosclerosis obliterans(ASO)of lower extremities according to planned behaviour theory so as to provide guidance for the development of programs in self-management intervention.Methods Using the description nature research method,13 ASO patients aged 60 and above in our hospital were selected for a semi-structured interviews based on the theory of planned behaviour,between November to December 2023.NVivo12 software and content analysis were used to analyse the data acquired from interviews and to refine the theme.Results Factors in 3 themes and 7 sub-themes were extracted from the aged ASO patients with self-management disorders,including self-management behaviour negative attitude(negative emotions about the disease,lack of awareness of the importance of self-management),poor subjective norm of self-management behaviour(insufficient family support and social support),low perceived behavioural control ability of self-management behaviour(lack of self-management knowledge and self-care ability,facing role conflict,disease coexistence).Conclusion There are barriers to the self-management among the aged ASO patients.Interventions should be developed and implemented to improve the self-management ability of the aged ASO patients.

关 键 词：下肢动脉硬化闭塞症 计划行为理论 自我管理 老年人 描述性质性研究 

分 类 号：R473.5[医药卫生—护理学]