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早期接诊中冠状动脉疾病的处理:一项定性研究

Dealing with coronary artery disease in early encountering: a qualitative study.

作者信息

Mojalli Mohammad, Karimi Moonaghi Hossein, Khosravan Shahla, Mohammadpure Ali

机构信息

Department of Postgraduate, Mashhad University of Medical Sciences, Mashhad, IR Iran.

Department of Medical-Surgical Nursing, Faculty of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, IR Iran.

出版信息

Int Cardiovasc Res J. 2014 Dec;8(4):166-70. Epub 2014 Dec 1.

Abstract

BACKGROUND

The prevalence of cardiovascular diseases is rising in industrial and developing countries. Coronary Artery Disease (CAD) is the most common cardiovascular disease. Thus, understanding the signs and risk factors of CAD from the patients' perspective and their ways of dealing with this disease is of vital importance.

OBJECTIVES

This qualitative study aimed to explore the Iranian patients' viewpoints about CAD and how they dealt with it in their first encounter.

PATIENTS AND METHODS

This study was a qualitative content analysis conducted on 18 patients with CAD. The data were collected through semi-structured interviews. Initially, purposeful sampling was performed followed by maximum variety. Sampling continued until data saturation. Then, all the interviews were recorded and transcribed verbatim. After all, the data were analyzed by constant comparative analysis using MAXQUDA2010 software.

RESULTS

The themes manifested in this study included "invasion of disease" with subthemes of "warning signs" and "risk factors" and "confrontation strategies" with subthemes of "seeking for information", "follow-up", and "control measures".

CONCLUSIONS

The results of this study described the patients' perceptions of CAD and how they dealt with this disorder in early encountering. Based on the results, physicians and nurses should focus on empowerment of patients by facilitating this process as well as by educating them with regards to dealing with CAD.

摘要

背景

在工业化国家和发展中国家,心血管疾病的患病率正在上升。冠状动脉疾病(CAD)是最常见的心血管疾病。因此,从患者的角度了解CAD的症状和危险因素以及他们应对这种疾病的方式至关重要。

目的

这项定性研究旨在探讨伊朗患者对CAD的看法以及他们在首次接触时如何应对。

患者和方法

本研究是对18名CAD患者进行的定性内容分析。数据通过半结构化访谈收集。最初进行目的抽样,随后进行最大程度的多样化抽样。抽样持续到数据饱和。然后,所有访谈都进行了录音并逐字转录。最后,使用MAXQUDA2010软件通过持续比较分析对数据进行分析。

结果

本研究中出现的主题包括“疾病侵袭”,其子主题为“警示信号”和“危险因素”,以及“应对策略”,其子主题为“寻求信息”、“随访”和“控制措施”。

结论

本研究结果描述了患者对CAD的认知以及他们在早期接触时如何应对这种疾病。基于这些结果,医生和护士应通过促进这一过程以及对患者进行CAD应对方面的教育来关注增强患者的能力。

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