Qualitative study on reasons for delayed medical seeking in patients with heart failure
10.3760/cma.j.cn115682-20201207-06565
- VernacularTitle:心力衰竭患者延迟就医原因的质性研究
- Author:
Shaoling LI
1
;
Xiaohong LU
;
Lili WEI
;
Liyan WANG
;
Xiaoyan YU
;
Shaoting SHI
;
Lihua CAO
;
Wenzhong ZHANG
Author Information
1. 青岛大学附属医院心血管内科，青岛 266000
- Keywords:
Heart failure;
Delayed medical seeking;
Qualitative study;
Disease management
- From:
Chinese Journal of Modern Nursing
2021;27(24):3234-3238
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the reasons for delayed medical seeking in patients with heart failure, and to provide new ideas for guiding patients with heart failure to seek medical treatment in time, increasing the scope of in-hospital and out-of-hospital nursing and optimizing the nursing mode.Methods:Using the purposive sampling method, patients with heart failure who had delayed medical seeking in Department of Cardiovascular Medicine in the Affiliated Hospital of Qingdao University were selected as the research objects from June to July 2020. Based on the theory of "health ecology model", 15 patients with heart failure were given semi-structured in-depth interviews. The descriptive phenomenological analysis method in qualitative research and Chinese version of Nvivo11.0 software were used to analyze and refine the interview data.Results:The delayed medical treatment time of 15 patients with heart failure was 7 to 44 days. The reasons for delayed medical seeking were summarized into 5 thematic groups, including insufficient symptom cognition, lack of disease management ability, cognition and experience of special population, insufficient family social support and medical delay.Conclusions:Medical staff should optimize the content and mode of health education for patients with heart failure, improve the self-management ability of patients with heart failure, timely identify special patients and give targeted intervention, and explore the way for patients with heart failure to obtain the support of high-quality medical resources outside the hospital so as to improve the occurrence of delayed medical treatment.
