Lin Lu, Jing Xiuchen, Zhang Yan, Qian Hongying, Xu Jiali, Tian Li
Department of Nursing, The First Affiliated Hospital of Soochow University, Suzhou, People's Republic of China.
Department of Oncology, School of Nursing, Medical College of Soochow University, Suzhou, People's Republic of China.
Patient Prefer Adherence. 2020 Jul 27;14:1275-1281. doi: 10.2147/PPA.S261466. eCollection 2020.
Patient compliance can influence the effect of auricular acupressure used to manage cancer-related fatigue (CRF).
To explore the barriers and facilitators affecting patients' compliance with treatment.
The maximum difference sampling method was used to conduct qualitative interviews with 11 CRF patients undergoing auricular acupressure therapy. The interview data were analyzed by Colaizzi's seven-step analysis.
Convenience and acceptability of the therapy, preliminary effects of its implementation, fully believing in the benefits of auricular acupressure and being habituated to the therapy, help and reminder from family members are the facilitating factors to improve patient compliance with auricular acupressure therapy, while the hindering factors include having doubts about the effect of acupressure resulting in interruption, having limited access to medical resources, deterioration of the condition resulting in self-abandonment, and weak family support.
In clinical nursing practice, attention should be paid to the analysis of the facilitating and hindering factors during the implementation of auricular acupressure therapy as well as the development of targeted intervention measures to improve patient compliance so as to enhance the effectiveness of auricular acupressure.
患者的依从性会影响耳穴按压用于管理癌症相关疲劳（CRF）的效果。
探讨影响患者治疗依从性的障碍因素和促进因素。
采用最大差异抽样法对11例接受耳穴按压治疗的CRF患者进行质性访谈。访谈数据采用Colaizzi七步分析法进行分析。
治疗的便利性和可接受性、实施治疗的初步效果、对耳穴按压益处的充分相信并习惯该疗法、家庭成员的帮助和提醒是提高患者耳穴按压治疗依从性的促进因素，而阻碍因素包括对按压效果存疑导致中断、获得医疗资源受限、病情恶化导致自我放弃以及家庭支持薄弱。
在临床护理实践中，应关注耳穴按压治疗实施过程中促进因素和阻碍因素的分析，并制定针对性干预措施以提高患者依从性，从而增强耳穴按压的效果。
