基于扎根理论的糖尿病足患者自我管理质性研究

发布时间：2018-06-21 09:06

本文选题：糖尿病足 + 扎根理论　；参考：《护理学报》2016年24期

【摘要】：目的基于扎根理论对糖尿病足患者自我管理进行质性研究,并探讨提高其自我管理能力的有效措施。方法2015年7—12月,采用目的抽样法,抽取大连市某三级甲等医院糖尿病足治疗中心11名有居家足部护理经历的糖尿病足患者进行非结构式深入访谈。根据质性研究中的扎根理论研究方法,经过开放性编码、主轴性编码、选择性编码的步骤,结合不断比较的方法进行资料分析。结果本研究共形成189个概念,20个一级范畴,经三级编码后将范畴化为知识、态度、行为,即知信行概念框架,核心变量为自我转变。结论糖尿病足患者自我管理受知识缺乏和认知错误、重视程度不足、行动力不足的影响,应加强患者对糖尿病足知识的宣教、提高患者的自我效能,通过行为干预等方式纠正其自我管理误区,从而提高患者的足部自我管理能力。
[Abstract]:Objective to study the quality of self-management of diabetic foot patients based on rooted theory and to explore the effective measures to improve their self-management ability. Methods from July to December 2015, 11 diabetic foot patients with family foot nursing experience were selected from diabetic foot treatment center of Grade 3A Hospital in Dalian for non-structured in-depth interviews. According to the grounded theoretical research methods in qualitative research, the data are analyzed through the steps of open coding, spindle coding and selective coding, combined with the method of continuous comparison. Results A total of 189 concepts and 20 first-level categories were formed in this study. After three levels of coding, the categories were transformed into the conceptual framework of knowledge, attitude, behavior, that is, knowledge, belief and behavior, and the core variable was self-transformation. Conclusion the self-management of diabetic foot patients is affected by lack of knowledge, cognitive errors, insufficient attention and insufficient action. It is necessary to strengthen the propaganda and education of diabetic foot knowledge and improve the self-efficacy of the patients. In order to improve the patient's ability of self-management, the misunderstandings of self-management were corrected by behavior intervention.
【作者单位】：大连医科大学附属第二医院护理部;大连医科大学附属第三医院护理部;滨州医学院烟台附属医院导管室;
【分类号】：R473.5

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