年龄相关性黄斑变性患者决策辅助方案实施障碍及促进因素的质性研究

万君丽; 卞薇; 郭文梅; 刘明琼; 张凤; 王露

doi:10.16460/j.issn2097-6569.2025.12.036

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护理学报 ›› 2025, Vol. 32 ›› Issue (12) : 36-42. DOI: 10.16460/j.issn2097-6569.2025.12.036

循证护理

年龄相关性黄斑变性患者决策辅助方案实施障碍及促进因素的质性研究

万君丽, 卞薇, 郭文梅, 刘明琼, 张凤, 王露

作者信息 +

Facilitators of and barriers to decision-making assistance in patients with age-related macular degeneration: a qualitative study

WAN Junli, BIAN Wei, GUO Wenmei, LIU Mingqiong, ZHANG Feng, WANG Lu

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摘要

目的探讨年龄相关性黄斑变性患者营养决策辅助工具应用过程中的障碍和促进因素。方法基于实施性研究综合框架制定访谈提纲,采用目的抽样的方法,选取2024年1—6月在重庆市某三级甲等医院眼科工作的17名医务人员、11例患者进行半结构式访谈。结果提炼出年龄相关性黄斑变性患者决策辅助方案实施的障碍因素10个、促进因素6个、患者与医务人员的差异化需求5个。结论年龄相关性黄斑变性患者营养决策辅助过程受到多种因素的影响,未来研究应致力于优化决策辅助工具及工作流程,推动共同决策模式在我国临床实践中的适应性转化。

Abstract

Objective To explore the barriers and facilitators in the application of nutritional decision tools for patients with age-related macular degeneration (AMD). Methods Based on the Consolidated for Implementation Research (CFIR 2.0), an interview guide was developed. Using purposeful sampling, 17 healthcare professionals and 11 patients from the ophthalmology department of a tertiary grade-A hospital in Chongqing City were selected for semi-structured interviews between January and June 2024. Results Ten barriers, six facilitators, and five divergent needs between patients and healthcare professionals were identified in the implementation of decision-making assistance for AMD patients. Conclusion This study highlights key barriers and facilitators in implementing decision-making assistance for AMD patients. Future research should focus on optimizing decision tools and workflows to promote adaptive integration of shared decision-making model into clinical practice in China.

关键词

年龄相关性黄斑变性 / 决策辅助 / 实施性研究 / 质性研究

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万君丽, 卞薇, 郭文梅, 刘明琼, 张凤, 王露. 年龄相关性黄斑变性患者决策辅助方案实施障碍及促进因素的质性研究[J]. 护理学报. 2025, 32(12): 36-42 https://doi.org/10.16460/j.issn2097-6569.2025.12.036

WAN Junli, BIAN Wei, GUO Wenmei, LIU Mingqiong, ZHANG Feng, WANG Lu. Facilitators of and barriers to decision-making assistance in patients with age-related macular degeneration: a qualitative study[J]. Journal of Nursing. 2025, 32(12): 36-42 https://doi.org/10.16460/j.issn2097-6569.2025.12.036

中图分类号： R473.77

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