中国医学伦理学2025，Vol.38Issue(5)：596-601,6.DOI:10.12026/j.issn.1001-8565.2025.05.08
缺血性脑卒中患者决定就医延迟原因的质性研究
A qualitative study on the causes of delayed decisions to seek medical attention among patients with ischemic stroke
李雪 1范凯利 1巩守平2
作者信息
- 1. 西安交通大学第二附属医院护理部,陕西 西安 710004
- 2. 西安医学院,陕西 西安 710021
- 折叠
摘要
Abstract
Objective:To learn the inner experience of decisions to seek medical attention among patients with ischemic stroke and to explore the factors that affect patients'early decisions to seek medical attention,providing a basis for formulating intervention measures to reduce patient delays.Methods:Using qualitative research methods,semi-structured in-depth interviews were conducted with 24 patients with ischemic stroke who had delayed seeking medical attention through purposive sampling,and the data were analyzed by category analysis method.Results:The five major themes that affected ischemic stroke patients'decisions to seek medical attention were symptom experience(insufficient attention to disease and the impact of symptoms on the patients),symptom assessment(symptom perception,symptom interpretation,and symptom recognition),symptom response(psychological denial and self-relief),prior knowledge of the diseases(deficient knowledge and stroke experience),as well as environmental-social factors(morbidity context,external information support,and medical insurance).Conclusion:Under the guidance of cognitive,psychosocial,and environmental frameworks,targeted intervention strategies should be proposed to reduce the incidence of delayed decisions to seek medical attention among patients with ischemic stroke.关键词
缺血性脑卒中/决定就医/延误/质性研究Key words
ischemic stroke/decision to seek medical attention/delay/qualitative study分类
医药卫生引用本文复制引用
李雪,范凯利,巩守平..缺血性脑卒中患者决定就医延迟原因的质性研究[J].中国医学伦理学,2025,38(5):596-601,6.
