Johansson Eva, Winkvist Anna
Postgraduate School of Health and Caring Sciences, Karolinska Institute, Stockholm, Sweden.
Qual Health Res. 2002 Apr;12(4):473-91. doi: 10.1177/104973202129120025.
The purpose of this study was to elucidate understanding of mechanisms of the tuberculosis sickness trajectory in Vietnam. In-depth interviews with 24 TB patients and 16 health care providers involved in TB care were concurrently conducted, coded, and analyzed according to the grounded theory method. A need for quality interaction based on transparency and trust among patient, family, society, and provider was observed. Providers lacked an awareness of differences between male and female patients with regard to social situation and support. In particular, female patients needed social support, as they received less support from their families than men did. A need for active intervention to decrease social isolation and increase social support was more pronounced in families with a female TB patient.
本研究的目的是阐明对越南结核病患病轨迹机制的理解。同时对24名结核病患者和16名参与结核病护理的医护人员进行了深入访谈，并根据扎根理论方法进行编码和分析。观察到患者、家庭、社会和医护人员之间需要基于透明度和信任的高质量互动。医护人员缺乏对男性和女性患者在社会状况和支持方面差异的认识。特别是，女性患者需要社会支持，因为她们从家人那里得到的支持比男性少。在有女性结核病患者的家庭中，采取积极干预措施以减少社会隔离和增加社会支持的需求更为明显。
