慢性阻塞性肺疾病患者延迟就医原因的质性研究

Causes of delayed medical seeking among patients with chronic obstructive pulmonary disease:a qualitative study

目的明确慢性阻塞性肺疾病(COPD)患者延迟就医的原因,为引导COPD患者及时就医提供参考。方法对15例延迟就医的COPD患者进行半结构式访谈,采用质性研究内容分析法对访谈资料分析与提炼。结果受访者延迟就医时间20~90d。延迟就医原因提炼出5个主题,分别是自行处理与暂时缓解、判断疾病错误、妥协疾病症状、就医能力不足、医疗条件限制。结论COPD患者延迟就医现象普遍,患者及家属应学会正确判断就医时机,改变不良就医习惯;医护人员及社会相关部门需重视患者及家属的健康教育,并提供必要的支持,引导COPD患者及时就医。

Objective To clarify the causes of delayed medical seeking among patients with Chronic Obstructive Pulmonary Disease (COPD),and to provide references for guiding COPD patients to seek medical treatment in time. Methods A semi-structured interview was conducted among 15 COPD patients with delayed medical seeking,then content analysis method was utilized to analyze and refine the interview data. Results Respondents′ delayed medical seeking length was 20-90 days.Five topics were refined on the causes of delayed medical seeking: self-management and temporary relief,self-judgment errors of illness,compromising on disease symptoms,lack of personal medical ability and limitation of medical conditions. Conclusion Delayed medical seeking is widespread among COPD patients,patients and their families should learn to correctly judge the timing of medical treatment and change their bad medical habits.Medical staff and relevant social departments should pay attention to the health education of patients and their families,and provide necessary support to guide COPD patients seeking medical treatment in time.