下肢静脉曲张患者不遵医嘱穿弹力袜治疗的原因：一项定性研究。
Reasons for patient non-compliance with compression stockings as a treatment for varicose veins in the lower limbs: A qualitative study.
机构信息
Nursing School of Jilin University, Changchun, China.
Department of the Lymphatic and Vascular Surgery, China-Japan Union Hospital of Jilin University, Changchun, China.
出版信息
PLoS One. 2020 Apr 28;15(4):e0231218. doi: 10.1371/journal.pone.0231218. eCollection 2020.
The study aims to explore the comprehensive reasons for patients' non-compliance with graded elastic compression stockings (GECS) as the treatment for lower limb varicose veins. Phenomenological analysis was applied in this qualitative study. The patients diagnosed with lower limb varicose veins and undergoing elective surgery who showed non-compliance with GECS as the treatment were invited to have semi-structured, in-depth, face-to-face interviews. Colaizzi method was employed to analyze the data for emerging themes associated with the reasons for patients' non-compliance. Four main themes and nine subthemes related to the reasons for non-compliance with GECS for lower limb varicose veins were summarized. The main themes that emerged were (1) gaps in the knowledge of GECS therapy as a treatment for lower limb varicose veins, (2) few recommendations from the doctors and nurses, (3) disadvantages of GECS, and (4) sociopsychological factors. These themes provide data for policy and planning to improve patients' compliance with GECS in China. Patients, healthcare professionals, and policy makers should share the responsibility to improve patients' compliance with GECS therapy.
本研究旨在探讨下肢静脉曲张患者不遵医嘱使用分级弹力压迫袜（GECS）治疗的综合原因。本研究采用现象学分析方法，邀请了经选择性手术诊断为下肢静脉曲张且不遵医嘱使用 GECS 治疗的患者进行半结构化、深入的面对面访谈。采用科莱齐方法对数据进行分析，以提取与患者不遵医嘱使用 GECS 治疗下肢静脉曲张的原因相关的主题。总结出与下肢静脉曲张 GECS 治疗不依从相关的 4 个主要主题和 9 个次要主题。主要主题包括：（1）GECS 治疗下肢静脉曲张的知识差距；（2）医生和护士的建议较少；（3）GECS 的缺点；（4）社会心理因素。这些主题为中国提高患者对 GECS 依从性的政策和规划提供了数据。患者、医护人员和政策制定者应共同承担提高患者对 GECS 治疗依从性的责任。
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