Qualitative study on poor compliance with self-management behaviors in patients with deep vein thrombosis of lower extremities
10.3760/cma.j.cn115682-20191104-03985
- VernacularTitle:下肢深静脉血栓患者院外疾病自我管理行为依从性欠佳的质性研究
- Author:
Xuelei XU
1
;
Yue WANG
;
Xuejiao LIU
;
Lei WANG
Author Information
1. 北京协和医院血管外科 100730
- Keywords:
Deep vein thrombosis;
Self-management;
Out-of-hospital care;
Compliance;
Qualitative study
- From:
Chinese Journal of Modern Nursing
2020;26(20):2785-2788
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To deeply understand the causes of poor compliance with out-of-hospital disease self-management behaviors in patients with deep vein thrombosis (DVT) of lower extremities, and provide a scientific basis for targeted interventions.Methods:Totally 14 patients who were diagnosed with DVT of the lower extremities, self-managed for 6 months outside the hospital and showed poor compliance in a ClassⅢ Grade A hospital in Beijing from August 2018 to April 2019 were selected for semi-structured interviews using phenomenological methods. The data were analyzed using Colaizzi's 7-step analysis.Results:The two themes of medical behavior management and health behavior management were refined; the causes of poor compliance were: lack of knowledge on systematic prevention and treatment of thrombosis, poor communication between doctors and patients and weak family and social support.Conclusions:The out-of-hospital disease self-management of patients with DVT of the lower extremities is poor. Doctors and nurses should strengthen health education from systematic knowledge of thrombosis treatment, enhance communication between doctors and patients, strengthen family social support, implement re-examination and non-compliance behavior supervision, and improve self-management behavior compliance outside the hospital.
