[1]郭慧琦,沈蕴之,施海明,等.医护人员心脏康复推荐决策行为的障碍因素分析:基于能力、机会、动机-行动模型和理论域框架的质性研究[J].军事护理,2023,40(12):60-63.[doi:10.3969/j.issn.2097-1826.2023.12.015]
　GUO Huiqi,SHEN Yunzhi,SHI Haiming,et al.Analysis of Obstacles to Decision-making Behavior of Cardiac Rehabilitation Recommendation Among Medical Staff: A Qualitative Study Based on COM-B Model and Theoretical Domain Framework[J].Nursing Journal Of Chinese People's Laberation Army,2023,40(12):60-63.[doi:10.3969/j.issn.2097-1826.2023.12.015]
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医护人员心脏康复推荐决策行为的障碍因素分析:基于能力、机会、动机-行动模型和理论域框架的质性研究
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
40
期数:
2023年12期
页码:
60-63
栏目:
研究荟萃
出版日期:
2023-12-15

文章信息/Info

Title:
Analysis of Obstacles to Decision-making Behavior of Cardiac Rehabilitation Recommendation Among Medical Staff: A Qualitative Study Based on COM-B Model and Theoretical Domain Framework
文章编号:
2097-1826(2023)12-0060-04
作者:
郭慧琦1; 沈蕴之1; 施海明1; 王宜青1; 李勇1; 孙笑天1; 卢慧娟2
(1.复旦大学附属华山医院 心血管科,上海 200000; 2.复旦大学 护理学院,上海 200000)
Author(s):
GUO Huiqi1; SHEN Yunzhi1; SHI Haiming1; WANG Yiqing1; LI Yong1; SUN Xiaotian1; LU Huijuan2
(1.Department of Cardiovascular,Huashan Hospital Affiliated to Fudan University,Shanghai 200000,China; 2.School of Nursing,Fudan University,Shanghai 200000,China)
关键词:
心脏康复;  治疗决策;  能力、机会、动机-行动模型
Keywords:
cardiac rehabilitation;  treatment decision;  Capability Opportunity Motivation-Behavior model
分类号:
R473.54
DOI:
10.3969/j.issn.2097-1826.2023.12.015
文献标志码:
A
摘要:
目的 探讨阻碍医护人员推荐心脏康复决策行为发生的原因。方法 基于能力、机会、动机-行动模型(capability opportunity motivation-behavior model,COM-B)和理论域框架(theoretical domains framework,TDF)制定访谈提纲,选取25名医护人员进行半结构访谈,访谈资料以COM-B和TDF为编码框架,采用归纳主题法和演绎框架法分析。结果 医护人员心脏康复推荐决策行为的障碍因素包括医护人员缺乏推荐心脏康复的意愿和医护人员缺乏推荐心脏康复的行动策略,前者分析得出缺乏目的理解、缺乏信念支持、缺乏专业团队、不良经历、消极态度和缺乏社会环境支持6个主题; 后者分析得出缺乏物质资源、缺乏知识和能力2个主题。结论 医护人员心脏康复推荐决策行为发生的障碍因素影响其向患者推荐心脏康复的意愿和行动策略。
Abstract:
Objective To explore the factors that hinder the decision-making behavior of medical staff on recommending cardiac rehabilitation.Methods An interview outline was developed based on the Capability Opportunity Motivation-Behavior model(COM-B model)and Theoretical Domains Framework(TDF),with 25 medical staff selected for semi-structured interviews.The interview data used COM-B and TDF as the coding framework,and the inductive topic analysis and deductive framework analysis were also used.Results The decision-making behavior of medical staff for recommending cardiac rehabilitation consisted of two parts:their unwillingness and lack of strategies to recommend cardiac rehabilitation.The former was attributed to not only a lack of understanding of the purpose,belief and professional team,but also adverse experiences,negative attitude and lack of support from the society,while the latter was due to a lack of material resources,knowledge and ability.Conclusions The obstacles to the decision-making behavior of medical staff for cardiac rehabilitation recommendation are the lack of willingness and strategies for action.

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备注/Memo

备注/Memo:
【收稿日期】2023-08-21【修回日期】2023-11-12
【基金项目】复旦大学复星护理科研项目(FNF202069)
【作者简介】郭慧琦,本科,主管护师,电话:021-52887060
【通信作者】沈蕴之,电话:021-52887060
更新日期/Last Update: 2023-12-15