哮喘联盟

   摘要
   在本文中，我们对干预过程中出现的心理和沟通过程进行定性探索，以改善哮喘患者的自我保健。在以初级保健为基础的干预试验中，我们在3个时间点收集了21例患者的数据，包括2次咨询的录音（护士和患者一起）以及第2次咨询3个月后进行的个人半结构化采访。采用框架分析，我们发现心理干预过程（疾病理解、对哮喘的情感反应和理性动机）与患者-提供者之间相互作用（患者积极参与和个体化加工）。我们利用这些发现来拓展和精炼已存在的行为改变理论模型，这一模型是干预过程的基础，尤其与患者-提供者交流过程相关。我们认为与相关的行为改变技巧一样，让哮喘自我保健干预的开发者和提供者对传递方式引起重视也是很重要的。
 

（刘国梁 审校）
Qual Health Res. 2013 Oct;23(10):1419-1429. Epub 2013 Sep 23.


 

Processes of Change in an Asthma Self-Care Intervention.
 

Denford S, Campbell JL, Frost J, Greaves CJ.
 

Abstract
In this article, we present a qualitative exploration of the psychological and communication processes that occur within an intervention to improve self-care for people with asthma. In the context of a primary-care-based trial of the intervention, we collected data at three time points for 21 patients, comprising 2 audiotaped consultations (nurse and patient together) and individual semistructured interviews 3 months after the second consultation. Using framework analysis, we identified both psychological processes (illness understanding, affective response to asthma, and reasoned motivation) and patient-provider interactions (active patient involvement and individual tailoring). We use these findings to extend and refine the pre-existing theoretical model of behavior change underpinning the intervention, in particular with relation to patient-provider interaction processes. We conclude that it is important for developers and providers of asthma self-care interventions to attend to the style of delivery as well as the behavior change techniques involved.
 

Qual Health Res. 2013 Oct;23(10):1419-1429. Epub 2013 Sep 23.