慢性心力衰竭患者居家液体摄入管理影响因素的质性研究  

A qualitative study of influencing factors of home fluid intake management in patients with chronic heart failure

作　　者：鲁欢欢 徐苏梦 杨静 徐冬梅 周媛 宋海燕 殷徐雯 顾则娟[1] Lu Huanhuan;Xu Sumeng;Yang Jing;Xu Dongmei;Zhou Yuan;Song Haiyan;Yin Xuwen;Gu Zejuan(School of Nursing,Nanjing Medical University,Nanjing 211166,China)

机构地区：[1]南京医科大学护理学院,江苏南京211166 [2]南京中医药大学护理学院 [3]南京医科大学第一附属医院

出　　处：《护理学杂志》2025年第5期94-98,共5页Journal of Nursing Science

基　　金：江苏高校优势学科建设工程四期项目“护理学”(苏教研函[2023]11号)。

摘　　要：目的探讨居家慢性心力衰竭患者居家液体摄入管理影响因素,为制订居家干预方案提供参考。方法采用描述性质性研究,基于Pender健康促进模式,对20例慢性心力衰竭出院患者进行半结构式访谈,采用内容分析法进行资料分析、主题提练。结果提炼2个主题及8个亚主题,促进因素为感知液体管理益处,参与主动健康行为,积极发挥自我效能,自护时间投入增加;障碍因素为居家应对行为不佳,记忆力减退,消极认知与延迟就医,内外部支持削弱。结论引导慢性心力衰竭患者树立正确液体摄入管理认知,激励居家患者发挥自我效能,落实居家液体摄入管理,同时加强“医院-社区-家庭”联动,持续追踪患者疾病轨迹。Objective To explore the factors influencing the management of fluid intake in chronic heart failure(CHF)patients at home,and to provide reference for the development of home intervention programs.Methods Based on the Pender Health Promotion Model(HPM),a descriptive qualitative study was conducted,20 CHF patients discharged from the hospital were invited to participate semi-structured interviews,and content analysis was used to analyze the data and refine the themes.Results A total of 2 themes and 8 sub-themes were extracted:facilitators were perceived benefits of fluid management,engagement in proactive health behaviors,positive self-efficacy,and increased self-care time commitment;barriers were poor home coping behaviors,memory loss,negative cognition and delayed medical care,and weakened internal and external support.Conclusion It is necessary to guide CHF patients to form a correct cognition of fluid intake management,to motivate home patients to exercise self-efficacy,to carry out home fluid intake management,and strengthen the linkage of"hospital-community-family"to continuously track the disease trajectory of patients.

关 键 词：慢性心力衰竭 居家 液体摄入管理 决定因素 Pender健康促进模式 质性研究 

分 类 号：R473.2[医药卫生—护理学]