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伊朗心血管疾病患者健康信息获取障碍的定性研究。

Barriers to health information seeking in Iranian patients with cardiovascular disease: a qualitative study.

机构信息

Nursing Department, University of Social Welfare and Rehabilitation Sciences (USWR), Tehran, Iran.

Nursing Department, University of Social Welfare and Rehabilitation Sciences (USWR), Tehran, Iran.

出版信息

Heart Lung. 2014 May-Jun;43(3):183-91. doi: 10.1016/j.hrtlng.2014.01.010. Epub 2014 Mar 19.

DOI:10.1016/j.hrtlng.2014.01.010
PMID:24655940
Abstract

OBJECTIVE

Providing patients with health care information is a critical component of the process of cardiovascular disease (CVD) management. The purpose of this study was to explore obstacles to seeking health care information among cardiovascular patients from the perspectives of patients, their family caregivers, and health care providers.

METHODS

This study was conducted with a qualitative approach using conventional qualitative content analysis. The study included 31 Iranian participants including 16 cardiovascular patients, 5 family members, and 10 health care providers (multidisciplinary). Data were collected with semi-structured interviews and continued to the point of data saturation. Analysis of the data was performed continually and concurrently with data collection of using a comparative method.

RESULTS

Five themes emerged including 'poor quality of information provision,' 'mutual ambiguity,' 'beliefs, faith, and expectations,' 'from routine life to obtaining information,' and 'conditions governing information seekers.' Seven sub-themes indicated participants' experiences and understandings of obstacles in health care information seeking.

CONCLUSION

Health care information seeking in cardiovascular patients and their family members occurs as a result of the influence of beliefs, interaction with numerous information sources, and in the context and structure that the care and information are provided. Understanding the nature of obstacles to health information seeking will help health care policy makers to provide evidence-based, reliable, and patient-centered information to encourage cardiovascular patients' involvement in treatment decisions.

摘要

目的

为患者提供医疗保健信息是心血管疾病(CVD)管理过程中的一个关键组成部分。本研究旨在从患者、患者家属和医疗保健提供者的角度探讨心血管患者寻求医疗保健信息的障碍。

方法

本研究采用定性方法,使用常规定性内容分析。研究包括 31 名伊朗参与者,其中包括 16 名心血管患者、5 名家庭成员和 10 名医疗保健提供者(多学科)。数据收集采用半结构化访谈,并持续到数据饱和点。使用比较方法,对数据的分析与数据收集同时进行。

结果

出现了五个主题,包括“信息提供质量差”、“相互模糊”、“信念、信仰和期望”、“从日常生活到获取信息”和“信息寻求者的条件”。七个子主题表明参与者对医疗保健信息寻求障碍的经验和理解。

结论

心血管患者及其家属寻求医疗保健信息是由于信念的影响、与众多信息源的互动以及护理和信息提供的背景和结构所致。了解健康信息寻求障碍的性质将有助于医疗保健政策制定者为患者提供基于证据、可靠和以患者为中心的信息,以鼓励心血管患者参与治疗决策。

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