护理学报 ›› 2020, Vol. 27 ›› Issue (24): 52-56.doi: 10.16460/j.issn1008-9969.2020.24.052
前列腺增生患者自我管理需求及影响因素的质性研究
高珊1,2, 黄慧敏1, 张芳1, 何宗斌1,2, 刘亚珍1, 申海燕1
- 1.南方医科大学珠江医院 泌尿外科,广东 广州 510280;
2.南方医科大学护理学院,广东 广州 510515
Self-management Need of Patients with Hyperplastic Prostate and Its Influence Factors: A Qualitative Research
GAO Shan1,2, HUANG Hui-min1, ZHANG Fang1, HE Zong-bin1,2, LIU Ya-zhen1, SHEN Hai-yan1
摘要： 目的 调查良性前列腺增生症患者的自我管理需求及影响因素现状,为医护人员的自我管理干预提供理论依据。方法 使用现象学研究方法,对17例良性前列腺增生症患者进行半结构式访谈,采用Colaizzi 7步分析法进行资料分析。结果 共提炼出4个主题：（1）自我管理的多重需求,包括疾病相关知识、共病管理2个次级主题;（2）医护人员缺位;（3）支持系统不力,包括患者角色缺如、病耻感、社会支持3个次级主题;（4）个人因素,包括恐惧并发症、健康期盼、社交习俗3个次级主题。结论 良性前列腺增生症患者的自我管理受医护人员、支持系统及个人因素等多方面影响,护士应在医护一体化的基础上推进多学科协作,协助患者提高社会支持感知力,在尊重患者个体差异的基础上,引导其实现持续性自我管理。
中图分类号:
- R473.6
| [1] Lee YJ, Lee JW, Park J, et al.Nationwide Incidence and Treatment Pattern of Benign Prostatic Hyperplasia in Korea[J]. Investig Clin Urol, 2016, 57(6):424-430. DOI:10.4111/icu.2016.57.6.424. [2] Kaplan SA.Re:EAU Guidelines on the Assessment of Non-Neurogenic Male Lower Urinary Tract Symptoms Including Benign Prostatic Obstruction[J]. J Urol, 2016, 196(6):1712-1714. DOI:10.1016/j.juro.2016.09.017. [3] Blanker MH,Admiraal A, Brandenbarg P, et al.Effectiveness of a Newly Developed Online Self-management Program for Male Patients with Uncomplicated Lower Urinary Tract Symptoms[J].Neurourol Urodyn,2019,38(8):2273-2279. DOI:10.1002/nau.24131. [4] Silva V, Grande AJ, Stanton KR, et al. Physical Activity for Lower Urinary Tract Symptoms Secondary to benign Prostatic Obstruction[J].Cochran Database of Syst Rev,2016,4(4):CD012044.DOI:10.1002/14651858.CD012044.pub2. [5] Yongcheng Tong, Ke ji Xie, Shu xia Li.Self-care and Quality of Life in Elderly Chinese Patients with Benign Prostatic Hyperplasia[J]. Nurs Sci Q,2020,33(1):79-84. DOI:10.1177/0894318419883417. [6] 罗玉红,张发,梁梦天,等.良性前列腺增生继发下尿路症状自我管理干预的研究进展[J].中国医药导报,2020,17(24):40-43. [7] 黄广芳. 从描述到解释:现象学研究路径转向[J].社会科学家,2017(10):52-56. [8] Sun Joon Hwang, Ngiap Chuan Tan, Sungwon Yoon, et al.Perceived Barriers and Facilitators to Chronic Kidney Disease Care among Patients in Singapore: a Qualitative Study[J]. BMJ Open,2020,10(10):e041788.DOI:10.1136/bmjopen-2020-041788. [9] Hanna Kallio, Anna-Maija Pietilä, Martin Johnson, et al.Systematic Methodological Review: Developing a Framework for a Qualitative Semi-structured Interview guide[J]. J Adv Nurs,2016,72(12):2954-2965. DOI:10.1111/jan.13031. [10] Ndosi M, Johnson D, Young T, et al.Effects of Needs-Based Patient Education on Self-Efficacy and Health Outcomes in People with Rheumatoid Arthritis: A Multicentre, Single Blind, Randomised Controlled Trial[J].Ann Rheum Dis,2016,75(6):1126-1132.DOI:10.1136/annrheumdis-2014-207171. [11] Melissa A, Connor D, Bonnie R, et al. An Evaluation of the Facilitator Training to Implement ‘Taking Charge of My Life and Health’, A Peer-led Group Program to Promote Self-care and Patient Empowerment in Veteran participants[J]. Patient Educ Couns, 2020, S0738-3991(20):30332-30333.DOI:10.1016/j.pec.2020.06.014. [12] 方娟,胡燕,熊艳华,等.Mini-CEX在提高心内科低年资护士健康教育能力中的应用研究[J].心脑血管病防治,2019,19(6):589-591. [13] Muhammad Danial Hadi, Yongxing Patrick Lin, Ee-Yuee Chan.My Health,Myself: A Qualitative Study on Motivations for Effective Chronic Disease Self-management among Community Dwelling Adults[J].Fam Pract,2020,37(6):839-844. DOI:10.1093/fampra/cmaa072. [14] Chan EY, Samsudin SA, Lim YJ.Older Patients’ Perception of Engagement in Functional Self-care During Hospitalization:A qualitative study[J].Geriatr Nurs, 2020,41(3):297-304.DOI:10.1016/j.gerinurse.2019.11.009. [15] Chan EY, Hong MLI, Tan MYG, et al.Older Patients’ Participation in Physical Activity During Hospitalization: A Qualitative Study of Ward Nurses’ Perceptions in an Asian Context[J]. Geriatr Nurs,2019,40(1):91-98. DOI:10.1016/j.gerinurse.2018.07.002. [16] Sarıkoç G, Öz F.The Effects and Stigma of Mental Illness in Turkey[J]. Community Ment Health J,2016,52(3):353-360. DOI:10.1007/s10597-015-9960-7. [17] Suglo JN, Evans C.Factors Influencing Self-management in Relation to Type 2 Diabetes in Africa: A Qualitative Systematic Review[J]. PLoS One, 2020,15(10):e0240938. DOI:10.1371/journal.pone.0240938. [18] Werfalli MM, Kalula SZ, Manning K, et al.Does social Support Effect Knowledge and Diabetes Self-Management Practices in Older Persons with Type 2 Diabetes Attending Primary Care Clinics in Cape Town, South Africa?[J]. PloS one, 2020, 15(3):e0230173.DOI:10.1371/journal.pone.0230173. [19] Lu Nan, Lou VWQ, Zuo D, et al.Intergenerational Relationships and Self-rated Health Trajectories among Older Adults in Rural China[J].Res Aging, 2017, 39(2):322-344. DOI:10.1177/0164027515611183. [20] Zeynep Olçun,Özlem Sahin Altun.The Correlation Between Schizophrenic Patients’ Level of Internalized Stigma and Their Level of Hope[J].Archives of Psychiatric Nursing,2017,31(4):332-337. DOI:10.1016/j.apnu.2017.03.001. [21] 郑雯雯,鲁春红,吕桂兰,等.222例维持性血液透析患者的病耻感现状及影响因素分析[J].护理学报, 2020,27(14):44-48. DOI:10.16460/j.issn1008-9969. 2020.14.044. [22] Green BN, Johnson CD, Haldeman S, et al.The Global Spine Care Initiative: Public Health and Prevention Interventions for Common Spine Disorders in Low-and Middle-income Communities[J].Eur Spine J,2018,27(3):1-13. DOI:10.1007/s00586-018-5635-8. |
| [1] | 王艳, 朱桂玲. 肠造口术后患者基于行为改变理论的护理干预效果观察[J]. 护理学报, 2020, 27(8): 54-58. |
| [2] | 樊艳华, 邬要芬, 幸敏清. PICC带管出院患者基于ADOPT模式健康教育的效果观察[J]. 护理学报, 2020, 27(8): 73-76. |
| [3] | 刘丽萍, 吴艳妮, 从维莲, 胡明钰, 李晓霞, 周春兰. 癌症患者化疗期自我护理体验质性研究的系统评价[J]. 护理学报, 2020, 27(7): 1-6. |
| [4] | 王随琴, 关云, 李小妹. 社区护士主导多学科管理模式对糖尿病患者自我管理水平的影响[J]. 护理学报, 2020, 27(6): 9-11. |
| [5] | 张文艳, 刘于, 张梦. 低收入人群高血压患病现状与自我管理的研究进展[J]. 护理学报, 2020, 27(6): 12-16. |
| [6] | 尹霄朦, 胡波, 王薇, 姜园园, 莘秀芳, 朱秀丽. 基于角色理论医学硕士研究生对导师角色期望的质性研究[J]. 护理学报, 2020, 27(5): 1-5. |
| [7] | 张新, 崔菡斐, 董凤齐, 郑瑞双. 护理学硕士学历护士临床工作体验的Meta整合[J]. 护理学报, 2020, 27(4): 25-31. |
| [8] | 张丹妮, 朱慧, 谢传艺, 陈肖敏. 乳腺癌患者配偶照顾体验质性研究的Meta整合[J]. 护理学报, 2020, 27(4): 32-36. |
| [9] | 李文玉, 涂文怡, 郑静, 黄小芳, 刘庆华, 徐小群. 样本量对质性研究主题与现象诠释的影响研究[J]. 护理学报, 2020, 27(3): 62-65. |
| [10] | 白亚平. 思维导图在腹腔穿刺术后置管患者自我管理中的应用[J]. 护理学报, 2020, 27(3): 70-72. |
| [11] | 张树芳, 李珏锦, 胡晓林. 护理本科生职业精神现状及影响因素分析[J]. 护理学报, 2020, 27(23): 10-13. |
| [12] | 陈丽玲, 周春兰, 吴艳妮, 赵慧慧. 临床护士参与循证实践培训体验的质性研究[J]. 护理学报, 2020, 27(23): 49-52. |
| [13] | 陈冬, 隋树杰, 邰春玲, 张玉环, 逄冬. 高职大专护生遭遇约会暴力的现状及影响因素分析[J]. 护理学报, 2020, 27(23): 58-63. |
| [14] | 张政, 袁理, 孙丽娜, 徐一元, 丁淑贞. 血液透析患者透析间期体质量增加的影响因素研究进展[J]. 护理学报, 2020, 27(22): 21-25. |
| [15] | 张世西, 何月月, 尹安春, 黄秀美, 刘思雨. 帕金森病患者照顾者照护体验质性研究的Meta整合[J]. 护理学报, 2020, 27(22): 45-51. |
|