Weiss J, Hutchinson S A
School of Nursing, College of Health and Public Affairs, University of Central Florida, Orlando, USA.
Qual Health Res. 2000 Jul;10(4):521-37. doi: 10.1177/104973200129118615.
The purpose of the grounded theory study discussed in this article was to discover and explicate the basic social problem in clients with diabetes and hypertension that affects their adherence to health care directives. In-depth interviews with 21 clients with both diabetes and hypertension and 3 health care providers who care for such clients were concurrently conducted, coded, and analyzed according to the grounded theory method. Clients with diabetes and hypertension described being bombarded repeatedly with warnings about their vulnerability. The warnings were both external (coming from health care providers, family, and friends) and internal (coming from within themselves). Internal warnings were discovered to be far more influential in affecting adherence. This discovery can be used to shape health care providers' social interactions and treatment plan strategies with clients with diabetes and hypertension.
本文所讨论的扎根理论研究的目的是发现并阐明糖尿病和高血压患者中影响其遵守医疗保健指令的基本社会问题。对21名患有糖尿病和高血压的患者以及3名照顾此类患者的医疗保健提供者同时进行了深入访谈，并根据扎根理论方法进行编码和分析。患有糖尿病和高血压的患者表示，他们不断受到关于自身易感性的警告的轰炸。这些警告既有外部的（来自医疗保健提供者、家人和朋友），也有内部的（来自他们自己内心）。研究发现，内部警告在影响依从性方面的影响力要大得多。这一发现可用于塑造医疗保健提供者与糖尿病和高血压患者的社会互动及治疗计划策略。
