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目的探讨影响一侧全肺切除治疗依从性的因素,为提高一侧全肺切除患者的治疗依从性提供依据。方法采用现象学分析法对10例一侧全肺切除患者进行访谈,采用claizzi七步分析法对资料进行分析。结果通过访谈,将影响一侧全肺切除部分知情患者治疗依从性的因素归纳为4个主题:心理因素;不适的生理症状;家庭、社会因素;医护人员的因素。结论为增强一侧全肺切除患者的治疗依从性,利用现代化信息工具例如微信、手机计步软件对患者加强有针对性的健康教育,加强心理疏导,充分发挥家庭社会支持系统的作用;建立良好的医护患关系,关注患者的健康信息需求,探索新的患者管理模式。
Objective To explore the factors influencing the compliance of pneumonectomy on one side and provide the evidence for improving the adherence of pneumonectomy on one side. Methods Ten cases of pneumonectomy patients were interviewed by phenomenological analysis, and the data were analyzed by claizzi seven-step analysis. Results Through interviews, the factors influencing the compliance of some patients with partial pneumonectomy on one side were summarized as four topics: psychological factors, physical symptoms of discomfort, family and social factors and the factors of medical staff. Conclusions In order to enhance the treatment compliance of patients with pneumonectomy on one side, modernized information tools such as WeChat and mobile counting software are used to enhance targeted health education, strengthen psychological counseling and give full play to the role of family social support system. The relationship between health care, attention to patient health information needs, explore new patient management.