基于扎根理论的女性慢性肾脏病患者生育动机形成影响因素的研究

A study of influencing factors about fertility motivation in female patients with chronic kidney disease based on grounded theory

目的探讨女性慢性肾脏病(CKD)患者生育动机形成的影响因素。方法采用目的抽样法,选取2019年11月至2020年11月东部战区总医院21名CKD女性患者,以半结构化访谈法、录音及书写现场笔记的方式收集资料,用Strass和Corbin的扎根理论资料分析方法提取主题。结果构建了核心范畴为"患者生育动机的形成"以及包含患者特征、疾病应对方式、主观规范、知觉行为控制4个主范畴的理论模型。其中,患者特征是动力性因素,主观规范是情景性因素,知觉行为控制是保障性因素,患者疾病应对方式是调节性因素。结论本研究从患者的视角探讨CKD患者生育动机形成的影响因素,为干预措施的制订和实施提供理论依据。

Objective To investigate the infuencing factors of fertility motivation in patients with chronic kidney disease(CKD).Methods The 21 female patients with CKD in the Eastern Theater General Hospital from November 2019 to November 2020 were selected by objective sampling method.The data were collected by semi-structured interview,recording and writing on-site notes,and the subjects were extracted by Strass and Corbin′s grounded theory data analysis method.Results The core category is"the formation of patients′reproductive motivation".A theoretical model including four main categories of patient characteristics,disease coping style,subjective norms and perceived behavioral control was constructed.Patients′characteristics are dynamic factors,subjective norms are situational factors,perceptual behavior control is protective factors,and patients′disease coping style is regulatory factors.Conclusion This study explored the influencing factors of fertility motivation in CKD patients from the perspective of patients,aiming to provide theoretical basis for the formulation and implementation of intervention measures.