障碍物和促进者坚持容易醒来的定位:使用COM-B模型进行定性研究
Lingli Zhu1,2, Zijun Ni1,2, Yuping Zhang1
1Nursing Department, The Second Affiliated Hospital of Zhejiang University School of Medicine, No.88 Jiefang road, Hangzhou, 310009, China.
BMC pulmonary medicine
|July 19, 2023
概括
对于ARDS患者来说,坚持清醒的倾向定位 (APP) 是复杂的. 物理挑战和误解是关键障碍,而支持系统和感知到的好处是促进者. 干预措施必须解决能力,机会和动机,以更好地遵守APP.
科学领域:
- 呼吸系统医学 呼吸系统医学
- 关键的护理关键的护理
- 健康心理学 心理健康心理学
背景情况:
- 对于未被输管的ARDS患者,建议使用醒着的倾斜定位 (APP).
- 对APP的治疗坚持提出了重大挑战.
- 了解障碍物和促进因素对于改善结果至关重要.
研究的目的:
- 探索APP遵守的障碍和促进因素.
- 使用了定性方法.
- 应用了能力,机会,动机-行为 (COM-B) 模型.
主要方法:
- 对19名患者 (55-92岁) 进行了半结构化的深度访谈.
- 采用了适应的感应性主题分析.
- 将发现映射到COM-B模型上.
主要成果:
- 确定了与COM-B结构映射的15个主题.
- 主要障碍:身体上的挑战 (能力).
- 促进者包括克服障碍 (C),获得治疗 (O),家庭支持 (O),信任 (M),恐惧 (M) 和感知到的好处 (M).
- 媒体,医疗保健的影响和习惯同时起到了障碍和促进者的作用.
结论:
- 该COM-B模型有效地识别了APP合规障碍和促进者.
- 坚持是一种动态的平衡,需要针对能力,机会和动机的干预措施.
- 医疗保健提供者应该提供指导,培训,环境支持,并解决患者的信念和恐惧.
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