心力衰竭患者自我护理疏忽的经历：一项内容分析。

Heart failure patients' experiences of self-care neglect: a content analysis.

作者信息

Bahrodi Parisa Sadat, Safa Azade, Ajorpaz Neda Mirbagher, Avanji Fatemeh Sadat Izadi

机构信息

Trauma Nursing Research Center, Kashan University of Medical Sciences , Kashan, Iran.

Autoimmune Diseases Research Center, Kashan University of Medical Sciences, Kashan, Iran.

出版信息

BMC Cardiovasc Disord. 2024 Dec 20;24(1):736. doi: 10.1186/s12872-024-04347-3.

DOI:10.1186/s12872-024-04347-3

PMID:39707200

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11660939/

Abstract

BACKGROUND

Heart failure is a chronic and common disorder worldwide. Patients with heart failure need self-care behaviors to manage their condition. Despite the importance of self-care in positive health outcomes, many patients with heart failure neglect their self-care behaviors. Therefore, the present study was conducted to explain heart failure patients' experiences of self-care neglect.

METHODS

This qualitative study was conducted using conventional content analysis method. Participants included 15 patients with heart failure. Data were collected through semi-structured interviews and using purposive sampling method. Sampling continued until data saturation was reached. Data analysis was performed concurrently with data collection. Lincoln and Guba's four criteria were used to ensure the trustworthiness of the data. Data management was performed using MAXQDA version 24 software.

RESULTS

The results were presented in the form of four main categories and 10 subcategories. In analyzing the data of the study, four main categories emerged in the participants' experiences: "false cultural beliefs in self-care", "weakening of mental-psychological power", "synergy of physical problems", and "inappropriate support".

CONCLUSION

The patients in their experiences of neglect in self-care pointed to false cultural beliefs in self-care, weakening of mental-psychological power, synergy of physical problems, and inappropriate support. Knowing the factors that influence self-care neglect and preventing their occurrence can improve self-care skills and prevent neglect-related side effects in patients with heart failure. Healthcare providers can help improve the health of these patients by developing interventions to mitigate these factors. It is suggested that future research be designed in the form of an intervention to reduce the effect of each of these factors.

TRIAL REGISTRATION

This is a qualitative study and has not been registered in Iranian Registry of Clinical Trials.

摘要

背景

心力衰竭是一种全球范围内常见的慢性疾病。心力衰竭患者需要通过自我护理行为来控制病情。尽管自我护理对良好的健康结果至关重要，但许多心力衰竭患者却忽视了自我护理行为。因此，本研究旨在阐释心力衰竭患者自我护理忽视的经历。

方法

本定性研究采用常规内容分析法。研究对象包括15名心力衰竭患者。通过半结构式访谈并采用目的抽样法收集数据。抽样持续进行直至达到数据饱和。数据分析与数据收集同步进行。采用林肯和古巴的四项标准来确保数据的可信度。使用MAXQDA 24版软件进行数据管理。

结果

研究结果呈现为四个主要类别和10个子类别。在分析研究数据时，参与者的经历中出现了四个主要类别：“自我护理中的错误文化观念”、“心理力量的削弱”、“身体问题的协同作用”以及“不适当的支持”。

结论

患者在自我护理忽视的经历中指出了自我护理中的错误文化观念、心理力量的削弱、身体问题的协同作用以及不适当的支持。了解影响自我护理忽视的因素并防止其发生，可以提高自我护理技能，预防心力衰竭患者出现与忽视相关的副作用。医疗服务提供者可以通过制定干预措施来减轻这些因素，从而帮助改善这些患者的健康状况。建议未来的研究设计成干预形式，以减少这些因素各自的影响。