结核与肺部疾病杂志2025，Vol.6Issue(5)：551-557,7.DOI:10.19983/j.issn.2096-8493.20250102
基于理论域框架的慢性阻塞性肺疾病患者吸入用药行为障碍因素的质性研究
Barriers to inhaled medication behavior among patients with chronic obstructive pulmonary disease:A qualitative study based on theoretical domains framework
摘要
Abstract
Objective:To explore the barriers of inhaled medication behavior among patients with chronic obstructive pulmonary disease(COPD),and to provide basis for formulating targeted intervention strategies and improving inhaled medication management practice.Methods:Using descriptive research method,an interview outline was designed based on theoretical domains framework(TDF),and 14 stable COPD patients admitted to Qingdao Municipal Hospital from November 2024 to February 2025 were selected for semi-structured interview using purpose sampling method.The interview data was compiled using TDF as coding framework,and analyzed with targeted content analysis method.Results:A total of 3 themes and 13 sub-themes were extracted,including limited management ability(low disease and medication literacy,insufficient inhaled medication use skills,lack of priority setting,low self-efficacy),insufficient behavioral motivation(poor expected results,negative emotions,stigma,lack of goals,instability of goals),and lack of external support(scarce resources,lack of family support,lack of medical support,lack of social support),which were mapped to 9 theoretical domains in TDF:knowledge,skills,memory/attention/decision-making,ability beliefs,outcome beliefs,emotions,goals,environment and resources,and social impact.Conclusion:Inhaled medication behavior of COPD patients is affected by multiple barriers.Multi-dimensional collaborative intervention should be carried out through improving medication management capabilities,stimulating behavioral motivations,and establishing and improving support systems to standardize the inhaled medication behavior of COPD patients and improve their medication compliance.关键词
肺疾病,慢性阻塞性/投药,吸入/行为/因素分析/定性研究Key words
Pulmonary disease,chronic obstructive/Administration,inhalation/Behavior/Factor analysis/Qualitative research分类
医药卫生引用本文复制引用
王凯选,陈静,吕伯瀚,郝万明,隋风翔..基于理论域框架的慢性阻塞性肺疾病患者吸入用药行为障碍因素的质性研究[J].结核与肺部疾病杂志,2025,6(5):551-557,7.基金项目
山东省医药卫生科技项目-重点项目(202403020661) Key Project of Medical and Health Science and Technology of Shandong Province(202403020661) （202403020661）
