风险管理视角下心血管疾病患者发病风险沟通体验质性研究

doi:10.3760/cma.j.issn.1007-1245.2024.03.035

国际医药卫生导报 ›› 2024, Vol. 30 ›› Issue (3): 519-524.DOI: 10.3760/cma.j.issn.1007-1245.2024.03.035

风险管理视角下心血管疾病患者发病风险沟通体验质性研究

梅兴燕¹ 吕美荣¹ 李玉荣² 武甜甜¹ 杨淑红¹ 贾庆运³ 张肖¹

¹临沂市人民医院护理部，临沂　276000；²临沂市人民医院产科六病区，临沂　276000；³临沂市人民医院创伤外科，临沂　276000

收稿日期:2023-06-27 出版日期:2024-02-01 发布日期:2024-03-07
通讯作者: 张肖，Email：740047429@qq.com
基金资助:
山东省自然科学基金青年项目（ZR2021QH230）；临沂市重点研发计划（医学类）项目（2022YX0115）

Qualitative research on cardiovascular disease patients' risk communication experience from perspective of risk management

Mei Xingyan¹, Lyu Meirong¹, Li Yurong², Wu Tiantian¹, Yang Shuhong¹, Jia Qingyun³, Zhang Xiao¹

¹Department of Nursing, Linyi People's Hospital, Linyi 276000, China; ²Sixth Ward Division, Department of Obstetrics, Linyi People's Hospital, Linyi 276000, China; ³Department of Trauma Surgery, Linyi People's Hospital, Linyi 276000, China

Received:2023-06-27 Online:2024-02-01 Published:2024-03-07
Contact: Zhang Xiao, Email: 740047429@qq.com
Supported by:
Youth Project of Shandong Natural Science Foundation (ZR2021 QH230); Medical Project of Key Research and Development Plan in Linyi (2022YX0115)

摘要/Abstract

摘要：

目的　探讨心血管疾病患者对疾病发病风险沟通的感受及内心体验，明确患者风险管理的需求和期望。方法　采用目的抽样法，选取2022年9月至11月在临沂市人民医院心血管内科就诊的12例心血管疾病患者进行深度访谈，其中，男7例，女5例，年龄范围42～71岁，并运用Colaizzi 7步分析法提取主题词并进行分析。结果　共提炼3个主题及所属的8个亚主题：风险沟通的迷茫与困惑（对疾病沟通缺乏重视意识、沟通信息的缺失和遗忘、有效信息区别困难）；风险沟通的态度与应对（主动被动沟通、趋利避害式沟通、替代性沟通）；风险沟通的认知与期望（风险沟通的信息需求、期望多样化的沟通形式）。结论　医护人员应针对其沟通过程中的不良行为，转变患者的风险沟通认知，提供个体化风险沟通策略，进而提高其疾病风险感知与风险管理能力。

关键词:

风险管理, 心血管疾病, 风险沟通, 质性研究

Abstract:

Objective　To explore the feelings and inner experiences of cardiovascular disease patients on risk communication, and to clarify the needs and expectations of patients on risk management. Methods　From September to November 2022,a total of 12 patients with cardiovascular diseases treated at Department of Cardiology, Linyi People's Hospital were selected by the purposive sampling for semi-structured interviews, including 7 males and 5 females. They were 42 to 71 years old. The data were analyzed by the Colaizzi's analysis method, and the theme-words were extracted. Results　A total of 3 themes and 8 subthemes were extracted: including confusion of risk communication (lack of awareness, loss and forgetting of communication information, and difficulty in distinguishing information), risk communication attitude and response (active and passive communication, drawing on advantage and avoiding disadvantage communication, and alternative communication), risk communication cognition and expectation (risk communication information requirements and expecting diverse communication). Conclusions　Medical staff should change patients' risk communication cognition and provide individualized risk communication strategies to improve their risk management ability.

Key words:

Risk management, Cardiovascular diseases, Risk communication, Qualitative research

梅兴燕吕美荣李玉荣武甜甜杨淑红贾庆运张肖.

风险管理视角下心血管疾病患者发病风险沟通体验质性研究 [J]. 国际医药卫生导报, 2024, 30(3): 519-524.

Mei Xingyan, Lyu Meirong, Li Yurong, Wu Tiantian, Yang Shuhong, Jia Qingyun, Zhang Xiao.

Qualitative research on cardiovascular disease patients' risk communication experience from perspective of risk management [J]. International Medicine and Health Guidance News, 2024, 30(3): 519-524.

参考文献

[1] Yusuf S, Joseph P, Rangarajan S, et al. Modifiable risk factors, cardiovascular disease, and mortality in 155 722 individuals from 21 high-income, middle-income, and low-income countries (PURE): a prospective cohort study[J]. Lancet, 2020,395(10226):795-808. DOI: 10.1016/S0140-6736(19)32008-2.
[2] Global status report on noncommunicable diseases 2014[EB/OL].[2023-05-11].https://apps.who.int/.
[3] World Health Organization[EB/OL].[2023-05-11].https://www.who.int/.
[4] Giannakoulas G, Doundoulakis I. Cardiovascular disease risk prediction models and scores[J]. Curr Pharm Des, 2021,27(10):1231. DOI: 10.2174/138161282710210- 324104510.
[5] 任慧,张振香,林蓓蕾,等.护士主导的心血管疾病高危人群发病风险沟通策略研究进展[J].中华护理杂志,2022,57(4):431-436.DOI:10.3761/j.issn.0254-1769.2022.04.007.
[6] 张成彬.心血管疾病患者出院准备度干预研究进展[J].国际医药卫生导报,2021,27(20):3127-3130.DOI:10.3760/cma.j.issn.1007-1245.2021.20.002.
[7] Antel R, Abbasgholizadeh-Rahimi S, Guadagno E, et al. The use of artificial intelligence and virtual reality in doctor-patient risk communication: a scoping review[J]. Patient Educ Couns, 2022,105(10):3038-3050. DOI: 10.1016/j.pec.2022.06.006.
[8] Artmann A, Rahn AC, Köpke S, et al. Risk communication in acute stroke patients - from qualitative data to a pilot randomised controlled trial[J]. Z Evid Fortbild Qual Gesundhwes, 2022,169:19-27. DOI: 10.1016/j.zefq.2022.01.001.
[9] Altshuler RD. Narratives are useful strategies for overcoming challenges in risk communication[J]. Am J Public Health, 2022,112(S1):S12-S14. DOI: 10.2105/AJPH.2021.306669.
[10] 花语蒙,刘爱萍.风险沟通在心血管病风险管理中的作用[J].中华健康管理学杂志,2022,16(2):140-144.DOI:10.3760/cma.j.cn115624-20210329-00166.
[11] 李峥.护理研究中的质性研究(一)[J].中国护理管理,2007,7(4):78-80.DOI:10.3969/j.issn.1672-1756.2007.04.029.
[12] Niyibizi JB, Okop KJ, Nganabashaka JP, et al. Perceived cardiovascular disease risk and tailored communication strategies among rural and urban community dwellers in Rwanda: a qualitative study[J]. BMC Public Health, 2022,22(1):920. DOI: 10.1186/s12889-022-13330-6.
[13] 李雯博,郑华光,王瑞青,等.痴呆的风险沟通——脑健康服务用户手册(第3部分)[J].中国卒中杂志,2022,17(2):157-164.DOI:10.3969/j.issn.1673-5765.2022.02.009.
[14] Ankita A, Kavita K, Thakur JS, et al. Nurse-led cardiovascular diseases risk assessment and communication using WHO/ISH risk prediction chart in a tertiary care hospital of North India[J]. Indian J Public Health, 2022,66(3):367-370. DOI: 10.4103/ijph.ijph_1539_21.
[15] Bonner C, Batcup C, Cornell S, et al. Interventions using heart age for cardiovascular disease risk communication: systematic review of psychological, behavioral, and clinical effects[J]. JMIR Cardio, 2021,5(2):e31056. DOI: 10.2196/31056.
[16] Schulberg SD, Ferry AV, Jin K, et al. Cardiovascular risk communication strategies in primary prevention. a systematic review with narrative synthesis[J]. J Adv Nurs, 2022,78(10):3116-3140. DOI: 10.1111/jan.15327.
[17] Kwame A, Petrucka PM. Universal healthcare coverage, patients' rights, and nurse-patient communication: a critical review of the evidence[J]. BMC Nurs, 2022,21(1):54. DOI: 10.1186/s12912-022-00833-1.
[18] Larkin HD. Improving patient communication on LASIK benefits and risks[J]. JAMA, 2022,328(9):820. DOI: 10.1001/jama.2022.14767.
[19] Van Der Pol-Harney E, Turner R, McCaffery K, et al. The effects of communicating cardiovascular disease risk as 'fitness age' on behavioral intentions and psychological outcomes[J]. Patient Educ Couns, 2021,104(7):1704-1711. DOI: 10.1016/j.pec.2020.12.030.
[20] Gidlow CJ, Ellis NJ, Riley V, et al. Cardiovascular disease risk communication in NHS health checks: a qualitative video-stimulated recall interview study with practitioners[J]. BJGP Open, 2021,5(5):BJGPO.2021.0049. DOI: 10.3399/BJGPO.2021.0049.
[21] Artmann A, Rahn AC, Köpke S, T et al. Risk communication in acute stroke patients - from qualitative data to a pilot randomised controlled trial[J]. Z Evid Fortbild Qual Gesundhwes, 2022,169:19-27. DOI: 10.1016/j.zefq.2022.01.001.
[22] Ankita A, Kavita K, Thakur JS, et al. Nurse-led cardiovascular diseases risk assessment and communication using WHO/ISH risk prediction chart in a tertiary care hospital of North India[J]. Indian J Public Health, 2022,66(3):367-370. DOI: 10.4103/ijph.ijph_1539_21.
[23] Lancarotte I, Nobre MR. Primordial and primary prevention programs for cardiovascular diseases: from risk assessment through risk communication to risk reduction. A review of the literature[J]. Clinics (Sao Paulo), 2016,71(11):667-678. DOI: 10.6061/clinics/2016(11)09.
[24] Hutchison J, Holdsworth J. What choice? Risk and responsibilisation in cardiovascular health policy[J]. Health (London), 2021,25(3):288-305. DOI: 10.1177/1363459319886106.
[25] Mentrup S, Harris E, Gomersall T, et al. Patients' experiences of cardiovascular health education and risk communication: a qualitative synthesis[J]. Qual Health Res, 2020,30(1):88-104. DOI: 10.1177/1049732319887949.

风险管理视角下心血管疾病患者发病风险沟通体验质性研究

Qualitative research on cardiovascular disease patients' risk communication experience from perspective of risk management

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

[1]	刘建霞牛路野李亚楠朱小广. 伴神经损伤胸腰椎骨折患者心理体验的质性研究 [J]. 国际医药卫生导报, 2024, 30(3): 484-488.
[2]	贾晓辉丁鑫鑫潘亚娟. 精细化护理结合临床护理路径对心血管疾病介入手术患者的应用效果 [J]. 国际医药卫生导报, 2024, 30(3): 515-519.
[3]	卢慧娟姜素芳万碧玉林品励唐芳汪玲珍刘旭生邓丽丽. 腹膜透析患者性生活体验的质性研究 [J]. 国际医药卫生导报, 2023, 29(8): 1095-1099.
[4]	梁倩雯马影蕊许颖佟富爽. 产妇对产后康复服务需求的质性研究 [J]. 国际医药卫生导报, 2023, 29(6): 863-867.
[5]	吴雪梅张玉杰解胜华. 银屑病与心血管共病关系的研究进展 [J]. 国际医药卫生导报, 2023, 29(4): 453-456.
[6]	高敏孟晓静李翔范晶丽黄璐璐杜宇. 神经重症护士有创颅内压监测知信行的质性研究 [J]. 国际医药卫生导报, 2023, 29(19): 2811-2815.
[7]	梁燕刘楠张涵. 糖尿病患者在外就餐需求的质性研究 [J]. 国际医药卫生导报, 2023, 29(18): 2646-2649.
[8]	凌晨张云芳黄丽秋. 基于需求层次理论的初置管腹膜透析患者生活顾虑的质性研究 [J]. 国际医药卫生导报, 2023, 29(18): 2654-2658.
[9]	陈小红廖国萍罗洋洋. 低年资护士遭受工作场所暴力体验的质性研究 [J]. 国际医药卫生导报, 2023, 29(18): 2659-2663.
[10]	杭琳张洁萍项丹玉陈玉瑛孙欣鑫尹悦廖月霞. 早产儿过渡期母亲对母乳喂养社会支持需求及挑战的质性研究 [J]. 国际医药卫生导报, 2023, 29(12): 1752-1755.
[11]	莫沛, 黎佼, 钟赟, 刘世明, 吴峻宇, 高芳, 裴静娴. 广州市钢铁行业中青年男性代谢综合征与外周血白细胞的关联性 [J]. 国际医药卫生导报, 2022, 28(9): 1218-1221.
[12]	王婧, 刘宇, 徐健莹, 杨丽明, 林静霞, 吴巧媚, 邓丽丽. 广州疫情封控区紧急状态下过渡隔离病区护士工作压力源的混合研究方案[J]. 国际医药卫生导报, 2022, 28(8): 1114-1118.
[13]	梁玮莹, 尹玉珊. 缺血性脑卒中伴吞咽障碍患者对出院计划服务需求的质性研究 [J]. 国际医药卫生导报, 2022, 28(7): 1006-1009.
[14]	付林, 刁树玲. 肝细胞生长因子和骨形态发生蛋白在心血管疾病中的应用[J]. 国际医药卫生导报, 2022, 28(4): 589-592.
[15]	沈荣荣白艳周文琴. 心脏康复APN发展现状与研究进展[J]. 国际医药卫生导报, 2022, 28(17): 2508-2512.