护理学报2024，Vol.31Issue(14)：13-19,7.DOI:10.16460/j.issn1008-9969.2024.14.013
血液透析专家型患者核心能力培养的质性研究
Qualitative research on development of core competence of hemodialysis expert patients
摘要
Abstract
Objective To explore the perspectives of patients,healthcare practitioners and hospital administrators on the core competency,cultivation and evaluation of hemodialysis expert patients in China.Methods Purposive sampling was used to select 14 hemodialysis patients with disease management experience,5 hemodialysis nurse specialists,3 hemodialysis physicians,and 3 nursing administrators in 3 tertiary grade-A hospitals between November 2022 and February 2023.With phenomenological research method in qualitative research,one-to-one semi-structured interviews were conducted.The Colaizzi 7-step analysis was used to analyze the data and refine themes.Results Four themes and twelve sub-themes were extracted:(1)Influencing factors of hemodialysis patients'willingness to participate in expert patient planning(positive factors and negative factors);(2)role orientation and core competence of hemodialysis expert patients(role orientation,self-management ability,health information literacy,joint decision-making ability,communication and coordination ability,and education and guidance ability);(3)professional training and evaluation(eligibility requirements,training contents and forms,and evaluation methods);(4)a complete support network for the cultivation of hemodialysis expert patients.Conclusion It is recommended to establish a complete and sustainable expert patient cultivation system and support system.It is proposed to empower hemodialysis patients to enhance their proactive health awareness and ability,and strengthen their willingness to participate in expert patient programs.Professional training and assessment evaluation should be conducted for hemodialysis expert patients,with emphasis on and reinforcement of cultivating several important core capabilities of self-management ability,health literacy,shared decision-making ability,communication and coordination ability,and educational guidance ability.关键词
血液透析/专家型患者/核心能力/质性研究Key words
hemodialysis/expert patient/core competence/qualitative research分类
医药卫生引用本文复制引用
申微,秦月兰,刘旺兴,胡正中,刘凤,姚汝凡,杨珂,蒋文慧..血液透析专家型患者核心能力培养的质性研究[J].护理学报,2024,31(14):13-19,7.基金项目
湖南省卫生健康委科研计划项目(B202314017099) （B202314017099）
2021年度湖南师范大学医学-人文社会科学交叉科学研究项目(2021-02) （2021-02）
