Health behavior decision-making experience and needs of patients after percutaneous coronary intervention:a qualitative research
10.3761/j.issn.0254-1769.2024.15.008
- VernacularTitle:经皮冠状动脉介入治疗术后患者健康行为决策体验与需求的质性研究
- Author:
Lan ZHANG
1
;
Xueqin GAO
;
Ping LIN
;
Zhenjuan ZHAO
;
Guojie LIU
Author Information
1. 150086 哈尔滨市 哈尔滨医科大学附属第二医院心内科
- Keywords:
Percutaneous Coronary Intervention;
Health Behavior;
Decision-Making;
Qualitative Research;
Nursing Care
- From:
Chinese Journal of Nursing
2024;59(15):1847-1852
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the experiences and needs of patients making health behavior decisions after percutaneous coronary intervention(PCI),and to provide evidence for formulating targeted decision support strategies.Methods Based on the Ottawa decision support framework and descriptive qualitative study,16 patients with unhealthy behaviors 1 year after PCI were selected as research subjects in a tertiary A general hospital in Harbin from July to December 2022 by purpose sampling method,and their decisional experience and needs were deeply interviewed by semi-structured interview method.The data were sorted out and analyzed by content analysis method.Results After the analysis of the interview data,the 2 themes and 6 sub-themes were extracted,including the experience of health behavior decision(uncertainty about the benefits of health behavior,low recognition of health behavior,and worry about the negative impact of behavior change);health behavior decision-making needs(health behavior knowledge needs,medical resources needs,emotional support needs).Conclusion PCI patients have a variety of conflicting experiences and multi-dimensional health behavior decision-making needs.Clinical nurses should start from the experience and needs of patients,pay attention to and identify the conflict experience of patients early,meet the individual needs of patients from the aspects of knowledge,medical resources,emotional support,etc.,and promote the transformation and long-term maintenance of PCI patients'health behaviors.
