Qualitative study on the self-management trajectory of patients undergoing percutaneous coronary intervention
10.3760/cma.j.cn115682-20201102-06014
- VernacularTitle:经皮冠状动脉介入治疗患者自我管理轨迹的质性研究
- Author:
Nannan WANG
1
;
Qiuli ZHAO
;
Bo XIN
;
Guojie LIU
;
Chunna WANG
Author Information
1. 天津市宝坻区人民医院心内科 301800
- Keywords:
Coronary artery disease;
Percutaneous coronary intervention;
Self-management;
Grounded theory
- From:
Chinese Journal of Modern Nursing
2021;27(14):1828-1833
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the self-management trajectory of patients with percutaneous coronary intervention (PCI) , in order to provide better guidance for disease self-management of patients with PCI.Methods:From April to December in 2019, a total of 15 patients with PCI who were treated and followed up in a Class Ⅲ Grade A hospital in Harbin and a Class Ⅲ Grade A hospital in Tianjin were selected as the research objects. All 15 patients were interviewed and recorded. Then the records were transcribed and analyzed with open coding, axial coding and selective coding according to the grounded theory put forward by Strass and Corbin, to identify the categories and core category.Results:The core category of disease self-management of patients undergoing PCI was "crisis-conscious path of PCI patient self-management", that was, the path of PCI patient self-management presented a dynamic process with the change of disease risk cognition. When patients were aware of the disease risk, they would enter the path of active health management, and when patients were unaware of the disease risk or risk cognition declines, they would enter the path of ignoring the disease self-management.Conclusions:Medical staff should pay attention to and strengthen the early postoperative risk awareness education of PCI patients; quantify patients' cognitive needs of health education and give targeted health education intervention measures; strengthen supervision and management outside the hospital, and establish the concept of lifelong self-management for patients.
