摘要目的 了解哮喘患者自我管理中存在的问题以及对医疗护理服务的需求,探索为患者提供针对性的医疗护理服务的内容和方法,并为实施以家庭为中心的自我护理提供依据.方法 应用现象学研究方法,对17例住院期病情稳定后哮喘患者进行面对面访谈,并进行现场录音和笔录,收集资料.采用Colaizzi的现象学资料7步分析法,对获得的资料进行分析、整理,提炼出主题.结果 哮喘患者的自我护理现状及家庭需求主要包括5个方面,即疾病知识不足,治疗不规则,对激素治疗缺乏正确认识,对强化哮喘防治知识的需求,与医护人员保持沟通交流的需求.结论 医护人员应经常、反复对患者进行哮喘知识的教育、指导,提供针对性和可操作性的家庭照顾知识和技能培训.

abstractsObjective To understand the problems on self-management in patients with asthma and the demand for medical care services,and to explore the contents and methods of health care services for patients in order to provide the basis for the family-centered care by a qualitative research.Methods 17 hospitalized patients with asthma were interviewed with on-site recording and transcription and data collection.The collected data were analyzed and studied using Colaizzi' s seven-step method of phenomenological analysis.Results The problems of self-management and the needs for family health services were shown as follows: insufficient knowledge of asthma,irregular treatments,lack of proper understanding of hormone therapy,needs of asthma knowledge in prevention and cure,needs to maintain communication with the staff.Conclusions Medical staff should always provide the instruction and guidance about the asthma knowledge to patients and also provide targeted and operational family care knowledge and skills training.