The lived experience of adherence for patients with heart failure.
The lived experience of adherence for patients with heart failure.
复制标题
心力衰竭患者坚持治疗的生活经验。
DOI：
10.1097/00008483-200505000-00006
复制
发表时间：
2005
期刊：
影响因子：
--
通讯作者：
Carrie J. Scotto
中科院分区：
文献类型：
--
作者：
Carrie J. Scotto
背景
不依从是心力衰竭患者再次入院的主要原因。虽然一些人口统计学和社会变量与依从性相关，但这些变量的识别并不能解决依从性的复杂问题。本研究探讨了心力衰竭患者试图坚持规定的护理方案时的生活经历。
方法
对14名因心力衰竭症状加重而再次入院的心力衰竭门诊患者进行了访谈。访谈记录为现象学分析和解释提供了数据。
结果
数据分析表明，在试图坚持规定的护理方案的经验，参与者最初接受他们的诊断导致改变自我形象。通过计划和设置常规，将适合新自我形象的行为整合到以前的生活方式中。确定的影响新行为坚持的主题包括个人信仰和价值观，来自重要他人和医疗保健专业人员的支持，不寻常的情况，以及诱惑克服动机。
结论
坚持是任何健康养生法的有效性的主要因素。评估影响依从性的个人和环境因素可能有助于为这一人群制定更有效的个性化治疗计划。仔细观察不依从性决策的离散事件可能会发现促进依从性的有效方法。
BACKGROUND
Nonadherence is the primary cause of hospital readmission for patients with heart failure. While some demographic and social variables are associated with adherence, the identification of these variables does not address the complex problem of adherence. This study explored the lived experience of patients with heart failure as they attempt to adhere to a prescribed regimen of care.
METHODS
Fourteen patients attending an outpatient heart failure clinic after hospital readmission for exacerbation of heart failure symptoms were interviewed. Transcription of the interviews provided data for phenomenological analysis and interpretation.
RESULTS
Data analysis indicated that within the experience of attempting to adhere to prescribed care regimens, participants' initial acceptance of their diagnosis resulted in a changed self-image. Behaviors appropriate to the new self-image were integrated into the former lifestyle by means of planning and setting routine. Identified themes that influence adherence to the new behaviors included personal beliefs and values, support from significant others and healthcare professionals, unusual circumstances, and temptation overcoming motivation.
CONCLUSIONS
Adherence is primary to the effectiveness of any health regimen. Assessment of personal and circumstantial elements that affect adherence can be useful in developing more effective individualized treatment plans for this population. A closer look at discrete events of nonadherent decision making may indicate effective ways to promote adherence.
量身定制的干预措施对社区卫生中心人群的影响。
影响因子：
3.5
作者：
Rimer,BK;Conaway,M;Lyna,P;Glassman,B;Yarnall,KS;Lipkus,I;Barber,LT
通讯作者：
Barber,LT
探索社交网络在降低心血管风险中的作用。
DOI：
--
发表时间：
1993
期刊：
Heart & lung : the journal of critical care
影响因子：
--
作者：
Fleury,J
通讯作者：
Fleury,J