肝移植受者坚持医疗护理计划的障碍：一项定性研究。
Barriers to Adherence to Medical Care Programs in Liver Transplant Recipients: A Qualitative Study.
作者信息
Moayed M S, Khatiban M, Nassiri Toosi M, Khodaveisi M, Soltanian A R, Ebadi A
机构信息
Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.
Mother and Child Care Research Center, Medical-Surgical Nursing Department, School of Nursing and Midwifery, Hamadan University of Medical Sciences , Hamadan, Iran.
出版信息
Int J Organ Transplant Med. 2019;10(3):115-126.
BACKGROUND
Non-adherence to medical care programs in transplant recipients is considered one of the life-threatening factors in transplant recipients, which can prevent achieving the desired levels of health care.
OBJECTIVE
To determine perceptions of liver transplant recipients about the barriers to their adherence to medical care programs.
METHODS
This study was conducted based on a qualitative content analysis method using semi-structured interviews with 23 liver transplant recipients, their families, and the transplant teams. A purposive sampling method was used in liver transplant clinics affiliated to Tehran University of Medical Sciences, Tehran, Iran, from May to November 2017.
RESULTS
Three main categories including factors related to therapeutic problems (educational problems and medication challenges), personal factors (self-management disability), as well as social problems (cultural conditions and passive family) were identified as the barriers to adherence to medical care programs.
CONCLUSION
Paying attention to barriers to adherence to medical care and planning for moderating them in a collaborative effort between transplant recipients and health care providers could increase the likelihood of survival and quality of life in these patients.
背景
移植受者不遵守医疗护理计划被认为是移植受者的危及生命的因素之一，这可能会妨碍实现理想的医疗保健水平。
目的
确定肝移植受者对其遵守医疗护理计划的障碍的看法。
方法
本研究基于定性内容分析法，对23名肝移植受者、他们的家人以及移植团队进行了半结构化访谈。2017年5月至11月，在伊朗德黑兰医科大学附属的肝移植诊所采用了目的抽样法。
结果
确定了三个主要类别，包括与治疗问题相关的因素（教育问题和药物治疗挑战）、个人因素（自我管理能力不足）以及社会问题（文化状况和消极的家庭），这些都是遵守医疗护理计划的障碍。
结论
关注遵守医疗护理的障碍，并在移植受者和医疗保健提供者之间共同努力制定缓解这些障碍的计划，可以提高这些患者的生存可能性和生活质量。
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