慢性心力衰竭患者容量管理旅程地图的研究  

Study of the volume management journey map in patients with chronic heart failure

作　　者：於茗 唐荣 纪晶 耿荣辉 周士红 蔡素萍 姜玲玲[1] 顾丹丹 严海鸥[4] Yu Ming;Tang Rong;Ji Jing;Geng Ronghui;Zhou Shihong;Cai Suping;Jiang Lingling;Gu Dandan;Yan Hai′ou(Department of Nursing,Rudong County People′s Hospital,Nantong 226400,China)

机构地区：[1]南通市如东县人民医院护理部,江苏南通226400 [2]南通市如东县人民医院医务科,江苏南通226400 [3]南通市通州区中医院 [4]南通大学附属医院护理部

出　　处：《护理学杂志》2025年第7期20-24,共5页Journal of Nursing Science

基　　金：南通市卫生健康委员会科研课题(QN2024058);南通市社会民生科技计划(MSZ2024131)。

摘　　要：目的基于旅程地图识别慢性心力衰竭患者容量管理的多维需求,为优化患者容量管理提供参考。方法运用描述性质性研究方法,于2024年7-9月选取12例慢性心力衰竭患者进行半结构化访谈,采用内容分析法进行资料分析并绘制患者旅程地图。结果按诊疗时间轴,从任务、情绪和痛点3个维度将慢性心力衰竭患者的容量管理需求细分归纳为早期症状管理等14个主题,并形成患者旅程地图。结论慢性心力衰竭患者容量管理旅程漫长且复杂,需求动态变化且多维交织。未来可针对其容量管理需求构建管理策略,精准提供照护支持,提升患者生活质量。Objective To identify the multidimensional needs of volume management in patients with chronic heart failure based on the journey map,and to provide a reference for optimizing volume management in this group.Methods A descriptive qualitative research method was employed.From July to September 2024,12 patients with chronic heart failure were selected for semi-structured interviews.Content analysis was used to analyze the data,and a patient journey map was created.Results Based on the treatment timeline,the volume management needs of patients with chronic heart failure were categorized into 14 themes(including early symptom management),from three dimensions:tasks,emotions,and pain points.A patient journey map was developed to illustrate these needs.Conclusion The volume management journey for patients with chronic heart failure is long and complex,with dynamically changing and interwoven needs.Future management strategies can be constructed to address these volume management needs,in an effort to provide precise care support and enhance the quality of life for patients.

关 键 词：慢性心力衰竭 容量管理 容量超负荷 患者旅程地图 症状管理 慢病管理 心血管护理 质性研究 

分 类 号：R473.5[医药卫生—护理学]