A qualitative study of treatment inertia in patients with chronic heart failure who were readmitted to hospital
10.3760/cma.j.cn211501-20241025-02928
- VernacularTitle:再入院慢性心力衰竭患者治疗惰性的质性研究
- Author:
Mengfan JIAO
1
;
Longxin LI
;
Wei WANG
;
Chunxu CHEN
Author Information
1. 山东第一医科大学附属省立医院心内科，济南 250021
- Publication Type:Journal Article
- Keywords:
Qualitative research;
Heart failure;
Treatment inertia;
Influencing factors
- From:
Chinese Journal of Practical Nursing
2025;41(17):1343-1349
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the current status of treatment inertia in patients with chronic heart failure who were readmitted to hospitals, and to explore the influencing factors of treatment inertia in patients with chronic heart failure, so as to provide a basis for patients to provide effective and timely rehabilitation treatment.Methods:Using the phenomenological research method, 16 readmitted chronic heart failure patients from Shandong Provincial Hospital Affiliated to Shandong First Medical University, Qilu Hospital of Shandong University and the First Affiliated Hospital of Shandong First Medical University were selected by purpose sampling method from May to July 2024 for semi-structured interview; the interview data were analyzed and summarized by Colaizzi seven-step analysis method.Results:There were 12 males and 4 females, aged (60.63 ± 9.39) years old. There were three themes: behavioral characteristics of treatment inertia (including delayed initiation of treatment, refusal to upgrade treatment, poor treatment compliance); internal barriers of treatment inertia (including insufficient symptom perception, multiple pressures of patients, insufficient confidence in treatment); external influences of treatment inertia (including insufficient family support and limited medical resources).Conclusions:Treatment inertia is common in patients with chronic heart failure who are readmitted to the hospital, which leads to the diversification of influencing factors of treatment inertia and negatively affects the treatment effect of patients. Medical staff should conduct targeted analysis and treatment according to the specific situation of the patient, reduce the inertia of the patient′s treatment, promote the timely treatment of patients with chronic heart failure, actively cooperate with the treatment, and improve the patient′s recovery effect.
