社区慢性病患者的家庭保健:定性研究

Saovakon Virasiri, Patcharaporn Jenjaiwit
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摘要

简介:慢性病患者有身体和精神上的困扰,包括家庭系统。因此,保健人员应为整个家庭提供护理。然而,对社区环境中患有慢性病的家庭的家庭保健实践了解较少。因此,本研究旨在从参与者的角度描述慢性病患者的家庭保健实践。方法:定性研究。参与者包括慢性病患者、家庭成员、卫生保健人员和社区领导人。数据收集包括用磁带记录的深度访谈、观察、笔记和焦点小组访谈。对数据进行内容分析。研究结果:研究结果显示了与参与者的叙述有关的三个主要主题和九个次要主题。首先,“优先考虑个人疾病的严重程度,以提供家庭护理。”二是“疾病常见病多,并发症多,控制难度大,需要专人提供保健”。第三,“社区大力参与,支持,跟进,并从患者和家庭的风格中学习。”结论:研究结果支持护士和卫生人员基于患者、家庭成员、卫生人员和社区领导的感知来了解社区环境中的家庭卫生保健。因此,应开发一种适合需求和初级卫生保健系统的有效的家庭卫生保健模式和干预措施。
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FAMILY HEALTH CARE FOR CHRONIC ILLNESS PEOPLE IN COMMUNITY: QUALITATIVE STUDY
Introduction: Chronic illness person has trouble in both body and mind, including family system. Therefore, health personnel should provide care for the whole family. However, there is less insight into family health care practice for families with chronic illness persons in community settings. Therefore, the study aimed at describing family health care practices for chronic illness persons from the participants ‘view. Method: Qualitative study was conducted. Participants included chronic illness persons, family members, healthcare personnel, and community leaders. Data collection consisted of in-depth interviews with tape recording, observation, note taking, and focused group interviews. Content analysis was done for data analysis. Findings: The findings displayed three major themes with nine subthemes in relation to the participants’ narration. First, “prioritizing personal illness severity for providing care at home.” Second, “common disease, more complication, difficult to control, and need special one to provide health care.” And third, the “community strongly participation, supports, follows up, and learns from patients and families’ styles.” Conclusion: The results support nurses and health personnel in gaining insight into family health care in the community setting based on the perception of patients, family members, health personnel, and community leaders. Therefore, an effective family health care model and intervention should thus be developed fitting to the needs and primary health care system.
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