在患有心房的患者中对复发风险的看法:一种定性研究
Yunxia Li1, Jing Lu1, Zhanhong You1
1School of Nursing, Nanjing Medical University, Nanjing, China.
Journal of advanced nursing
|September 29, 2025
概括
患有心房的患者往往低估了他们的复发风险,因为知识有限和主观的症状解释. 了解这些感知是改善自我管理和为心房患者开发有针对性的干预措施的关键.
科学领域:
- 心脏病学 心脏病学
- 质量健康研究 质量健康研究
- 患者感知研究 患者感知研究
背景情况:
- 心房动 (AF) 的复发会给健康带来重大风险.
- 了解患者对复发风险的看法对于有效管理至关重要.
- 目前存在关于AF患者如何感知其复发风险的知识差距.
研究的目的:
- 调查患者对心房动 (AF) 复发风险的看法.
- 为制定AF复发风险的测量尺度和干预策略建立理论基础.
- 探索与AF复发的感知可能性,严重程度,触发因素,情绪反应和管理有效性相关的主题.
主要方法:
- 定性采访研究涉及17名心房的患者.
- 在2024年10月至12月期间进行的半结构化深度访谈.
- 使用Colaizzi的方法进行主题分析,遵循COREQ的指导方针.
主要成果:
- 五个主要主题出现了:感知到的可能性,严重程度和复发的触发因素.
- 还确定了对复发的情绪反应和对管理的感知有效性.
- 患者对AF复发风险的看法各不相同,并且经常被低估.
结论:
- 患者对AF复发风险的理解往往受到知识缺陷和主观症状解释的限制,影响健康行为.
- 解决主观评估,情绪和感知到的自我效能对于改善患者的结果至关重要.
- 建议使用经过验证的评估工具和量身定制的风险沟通策略,以加强自主管理并支持针对AF的有针对性的干预措施.
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