Chinese General Practice ›› 2022, Vol. 25 ›› Issue (19): 2336-2341.DOI: 10.12114/j.issn.1007-9572.2022.0169

Special Issue: 老年人群健康最新文章合集 共病最新文章合集 老年问题最新文章合集

• Original Research·Clinical Quality Improvement • Previous Articles     Next Articles

Experience of Treatment Burden in Older Adults with Multimorbidity: a Qualitative Study

  

  1. School of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu 611137, China
  • Received:2022-02-23 Revised:2022-03-28 Published:2022-07-05 Online:2022-06-02
  • Contact: Jing GAO
  • About author:
    YANG Z, GAO J, BAI D X, et al. Experience of treatment burden in older adults with multimorbidity: a qualitative study[J]. Chinese General Practice, 2022, 25 (19) : 2336-2341.

老年慢性病共病患者治疗负担体验的质性研究

  

  1. 611137 四川省成都市,成都中医药大学护理学院
  • 通讯作者: 高静
  • 作者简介:
    杨直,高静,柏丁兮,等.老年慢性病共病患者治疗负担体验的质性研究[J].中国全科医学,2022,25(19):2336-2341.[www.chinagp.net] 作者贡献:高静负责研究设计、文章质量控制及审校,对文章整体负责;柏丁兮负责研究实施;杨直负责访谈资料的收集、论文的撰写;杨直、刘锐芮负责访谈资料的转录、核对和分析;高静、柏丁兮负责论文的修改。
  • 基金资助:
    国家自然科学基金资助项目(81774455); 四川省科普培训项目(2021JDKP0088); 四川基层公共文化服务研究中心科研项目(JY2020A01)

Abstract:

Background

As the aging society develops, multimorbidity is increasingly prevalent in an increased number of older adults, which imposes a heavy treatment burden on the group, but the composition of treatment burden of elderly patients with chronic comorbidity in China is not clear.

Objective

To understand the real experience of treatment burden in elderly patients with multimorbidity, providing a theoretical basis for promoting the research on treatment burden in China.

Methods

By use of purposive sampling, 21 older inpatients with multimorbidity were selected from three hospitals (one is primary level, another is secondary and another is tertiary) in Chengdu from January to June 2021. Individual, face-to-face, in-depth, semi-structured interviews were utilized to collect their experiences of treatment burden, and the data were recorded, and analyzed using Colaizzi's method of data analysis.

Results

Of the participants, eight were women, and 13 were men; 10 were selected from the tertiary hospital, seven from the secondary hospital, and four from the primary hospital. Six themes were summarized: economic burden, drug burden, self-management burden, medical service burden, social burden and psychological burden.

Conclusion

Taken overall, the treatment burden was relatively heavy in older inpatients with multimorbidity. To reduce the treatment burden and improve the efficacy in this group, it is recommended that medical workers should pay attention to their treatment burden, and formulate individualized treatment plan for them.

Key words: Multiple chronic conditions, Aged, Treatment burden, Qualitative research

摘要:

背景

随着社会老龄化程度的逐渐加深,老年人口数量逐渐增多,老年慢性病共病现象日益普遍。慢性病共病给老年患者带来了较重的治疗负担,但当前国内老年慢性病共病患者治疗负担组成尚不明确。

目的

深入了解老年慢性病共病患者治疗负担的真实体验,为促进国内治疗负担的研究提供理论依据。

方法

采用目的抽样法选择2021年1—6月在成都市1所三级医院、1所二级医院、1所一级医院住院的老年慢性病共病患者21例,采用面对面、半结构式深度访谈法进行访谈,了解其治疗负担,并按照Colaizzi现象学资料的7步分析法对访谈资料进行整理与分析。

结果

共访谈了21例老年慢性病共病患者,其中女8例、男13例,来自三级医院10例、二级医院7例、一级医院4例。提炼出老年慢性病共病患者治疗负担体验的6个主题:经济负担、药物负担、自我管理负担、获得医疗服务负担、社交性负担、心理负担。

结论

老年慢性病共病患者在疾病治疗过程中治疗负担较重,医护人员需要关注患者在治疗疾病过程中所承受的治疗负担,制定个体化的治疗方案,尽可能地将慢性病共病患者的治疗负担降至最低,提高患者的治疗效果。

关键词: 慢性病共病, 老年人, 治疗负担, 定性研究