Qualitative research on the factors affecting long-term compliance to weight management of patients with congestive heart failure
10.3760/cma.j.issn.1672-7088.2013.35.019
- VernacularTitle:充血性心力衰竭患者体质量管理长效依从性影响因素的质性研究
- Author:
Yang JU
;
Qi WANG
;
Jingbo QIU
;
Xiaohua WANG
;
Qing JIANG
;
Minxia LU
;
Xiaofang YANG
- Publication Type:Journal Article
- Keywords:
Congestive heart failure;
Weight management;
Compliance;
Qualitative research
- From:
Chinese Journal of Practical Nursing
2013;29(35):52-55
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore factors affecting long-term compliance to weight management (WM) of patients with congestive heart failure (CHF)and to provide evidence for improving patients' compliance.Methods In-depth semi-structured interviews based on reinforcement theory were conducted among 18 CHF patients who received WM intervention over 6 months.The data were analyzed by Colaizzi analysis program.Results Three themes were found:precipitating factors such as the correct perception of disease and self-efficacy,the factors of positive reinforcement such as early gains from WM,readmission,follow-up,family and social support,as well as the factors of negative reinforcement such as gaining nothing during long period,physical and mental disorders.These above factors made long-term compliance to WM of 50％ of the participants dynamic and fluctuant.Conclusions Medical staff should identify patients'compliance at different stages in time during follow-up,analyze the factors that affect their compliance,and then grasp the optimal timing of intervention to perform targeted,multiform and multiple health education to improve compliance.
