University of Kentucky, Lexington, Kentucky, USA.
Qual Health Res. 2011 Feb;21(2):214-22. doi: 10.1177/1049732310381086. Epub 2010 Aug 26.
There are effective medications available for the treatment of rheumatoid arthritis (RA); yet, medication adherence remains a problem. In this study, grounded theory methodology was used to investigate the decision-making process used by 30 women with RA when deciding to participate in an evidence-based treatment regimen for this disease. From the study findings, a four-phase process was identified. Pain, life functioning, and exhaustion of health care resources are the components of the initial phase, decision initiation. During knowledge acquisition, the second phase, patients attain information about RA and medications used for its treatment from varying sources. The third phase, trusting the health care provider, is defined by a trusting relationship between patients and health care providers. Patients decide to take or not take medications for RA during the final phase, decision is made. The participating women with RA used a complex decision-making process when deciding to take medications for this disease.
有有效的药物可用于治疗类风湿关节炎（RA）；然而，药物依从性仍然是一个问题。在这项研究中，采用扎根理论方法调查了 30 名 RA 女性在决定参与这种疾病的循证治疗方案时的决策过程。从研究结果中，确定了一个四阶段的过程。疼痛、生活功能和医疗资源的消耗是初始阶段（决策启动）的组成部分。在知识获取的第二阶段，患者从不同的来源获得有关 RA 和用于治疗 RA 的药物的信息。第三阶段，信任医疗保健提供者，定义为患者和医疗保健提供者之间的信任关系。在最后一个阶段，决定做出，患者决定是否服用治疗 RA 的药物。参与研究的 RA 女性在决定服用这种疾病的药物时使用了复杂的决策过程。
