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目的了解社区慢性心力衰竭患者生存质量的现状及影响因素,为提高其生存质量、开展科学有效的社区慢性心力衰竭管理提供参考依据。方法采用现象学研究方法,对10例社区慢性心力衰竭患者进行半结构式访谈,并用现象学分析法对资料进行分析。结果通过访谈归纳出6个主题:①患者对生存质量内涵的理解;②躯体症状;③自我管理能力;④悲观、抑郁等不良情绪;⑤家庭成员的支持程度;⑥医疗服务的可及性与连续性。结论社区医务工作者应充分考虑影响患者生存质量的因素,通过开展家庭医生责任制,与患者建立契约关系,为其提供专业、可及、连续的医疗服务,同时鼓励家庭成员给予患者更多的支持,从而提高患者的自我管理能力和生存质量。
Objective To understand the status quo and influencing factors of quality of life in patients with chronic heart failure in community and to provide reference for improving their quality of life and carrying out scientific and effective community chronic heart failure management. Methods The method of phenomenology was used to conduct semi-structured interviews with 10 patients with chronic heart failure in the community. The phenomenological analysis was used to analyze the data. Results Six subjects were summarized through interviewing: ①the patient’s understanding of the connotation of quality of life; ②the somatic symptoms; ③self-management ability; ④ negative emotions such as pessimism and depression; ⑤the support of family members; ⑥the availability of medical services and Continuity. Conclusion Community medical workers should give full consideration to the factors influencing the quality of life of patients, establish a contractual relationship with patients through family doctor responsibility system, provide them with professional, accessible and continuous medical services, and encourage family members to give more patients Support, so as to improve patient self-management ability and quality of life.