Browse > Article
http://dx.doi.org/10.5392/JKCA.2021.21.03.552

Experience of Patients' Having Hypertension and Diabetes Participation in Health Care  

Lee, Jihae (이화여자대학교 간호대학)
Publication Information
Abstract
This study attempted to explore the experience of patients' having hypertension and diabetes participation in health care. 11 chronic patients who regularly visited community health centers for more than a year participated in this study. The data was collected through individual interviews and analyzed by thematic analysis method. As a result, 6 sub-themes and 3 themes derived from the data. The themes were 'Trying to utilize short consultation time efficiently', 'Answering within narrow limits to healthcare provider', 'Being lack of continuous motivation for health care'. The result showed the need for nurses to provide accurate and sufficient health information and motivate patients in supportive manner to encourage chronic patients' participation in health care.
Keywords
Chronic Disease; Decision Making; Patient Participation; Patient-centered Care; Qualitative Research;
Citations & Related Records
연도 인용수 순위
  • Reference
1 S. Stalenhag and E. Sterner, "Factors that creates obstacles and opportunity for patient participation in orthopaedic nursing care," EWMA Journal, Vol.20, No.1, pp.49-51, 2019.   DOI
2 N. Zhu, P. X. Ma, and Y. Liang, "Patients, caregivers and nurses' attitudes toward patients' participation in knee and hip joint replacement pain management: a Q-methodology study," A Journal for the Australian Nursing Profession, Vol.66, No.6, pp.507-521, 2019.
3 S. Theys, E. Lust, M. Heinen, S. Verhaeghe, D. Beekman, K. Eekloo, S. Malfail, and A. Van Hecke, "Barriers and enablers for the implementation of a hospital communication tool for patient participation: a qualitative study," Journal of Clinical Nursing, Vol.29, No.11/12, pp.1945-1956, 2020.   DOI
4 K. Jorgensen, J. D. Rendtorff, and M. Holen, "How patient participation is constructed in mental health car: A grounded theory study," Scandinavian Journal of Caring Sciences, Vol.32, No.4, pp.1359-1370, 2018.   DOI
5 이상목, "생명의료윤리에 대한 비교문화적 접근: 의학적 의사결정을 중심으로," 한국의료윤리학회, 제10권, 제1호, pp.23-32, 2007.
6 R. Fan, "Self-Determination vs. Family-Determination: two Incommensurable Principles of Autonomy," Bioethics, Vol.11, No.3-4, pp.309-322, 2003.   DOI
7 T. L. McCarron, T. Noseworthy, K. Moffat, G. Wilkinson, S. Zelinsky, D. White, D. Hassay, D. L. Lorenzetti, and N. J. Marlett, "A co-designed framework to support and sustain patient and family engagement in health-care decision making," Health Expectation, Vol.23, No.4, pp.825-836, 2020.   DOI
8 D. D. Carr, "Motivational interviewing supports patient centered-care and communication," Journal of the New York State Nurses Association, Vol.45, No.1, pp.39-43, 2017.
9 http://www.index.go.kr/potal/main/EachDtlPageDetail.do?idx_cd=1438, 2020.11.17.
10 N. Zizzo, E. Bell, A. Lafontaine, and E. Racine, "Examining chronic care patient preferences for involvement in health-care decision making: the case of Parkinson's disease patients in a patient-centered clinic," Health Expectations, Vol.20, No.4, pp.655-664, 2016.   DOI
11 M. L. Clayman, C. L. Bylund, B. Chewning, and G. Makoul, "The Impact of Patient Participation in Health Decisions Within Medical Encounters: a Systematic Review," Medical Decision Making, Vol.36, No.4, pp.427-452, 2016.   DOI
12 L. Ambrosio, J. M. S. Garcia, M. R. Fernandez, S. A. Bravo, D. D. C. Ayesa, M. E. U. Sesma, N. Caparros, and M. C. Portillo, "Living with chronic illness in adults: a concept analysis," Journal of clinical nursing, Vol.24, No.17-18, pp.2357-2367, 2015.   DOI
13 P. A. Grady and L. L. Gough, "Self-management: A comprehensive approach to management of chronic conditions," American Journal of Public Health, Vol.104, No.8, pp.25-31, 2014.
14 C. Fullwood, A. Kennedy, A. Rogers, M. Eden, C. Gardner, J. Protheroe, and D. Reeves, "Patients' experiences of shared decision making in primary care practices in the United Kingdom," Medical Decision Making, Vol.33, No.1, pp.26-36, 2013.   DOI
15 김수영, 이지애, "만성질환자의 건강관련 의사결정에 대한 참여 정도와 자가간호역량에 관한 연구," 한국산학기술학회지, 제21권, 제6호, pp.1-10, 2020.
16 이정선, 최만규, "의사의 환자중심적 커뮤니케이션이 만성질환 환자의 삶의 질에 미치는 영향: 건강행동의 매개효과를 중심으로," 한국알코올과학회 학술대회, pp.44-44, 2018.
17 I. E. Larsson, M. J. M. Sahlstenm, K. Segesten, and K. A. E. Plos, "Patients' perceptions of barriers for participation in nursing care," Scandinavian Journal of Caring Sciences, Vol.25, No.3, pp.575-582, 2011.   DOI
18 D. L. Frosch, K. J. Singer, and S. Timmermans, "Conducting implementation research in community-based primary care: a qualitative study on integrating patient decision support interventions for cancer screening into routine practice," Health Expectation, Vol.14, pp.73-84, 2011.   DOI
19 E. Siouta, U. H. Muhli, B. Hedberg, A. Brostrom, B. Fossum, and K Karlgren, "Patients' experiences of communication and involvement in decision-making about atrial fibrillation treatment in consultations with nurses and physicians," Scandinavian Journal of Caring Sciences, Vol.30, No.3, pp.535-546, 2016.   DOI
20 D. E. BPharm, H. K. R. MBBS, K. R. BPharm, and L. S. BA, "The impact of severe asthma on patients' autonomy: a qualitative study," Health Expectation, Vol.22, No.3, pp.528-536, 2018.   DOI
21 V. Braun and V. Clarke, "Using thematic analysis in psychology," Qualitative Research in Psychology, Vol.3, No.2, pp.77-101, 2006.   DOI
22 Y. S. Lincoln and E. G. Guba, Naturalistic inquiry, Beverly Hills, CA: Sage Pub, 1985.
23 김미영, 이지애, 두은영, "만성질환자의 e-헬스 리터러시가 의료인-환자 커뮤니케이션에 미치는 영향," 간호행정학회지, 제26권, 제2호, pp.73-83, 2020.
24 이희정, 양진향, "노인 암 환자의 수술 의사결정참여에 대한 영향요인," 노인간호학회지, 제15권, 제1호, pp.1-10, 2013.
25 G. Tabiano, A. Marshall, T. Bucknall, and W. Chaboyer, "Patient participation in nursing care on medical wards: an integrative review," International Journal of Nursing Studies, Vol.52, No.6, pp.1107-1120, 2015.   DOI
26 N. H. Yoon, "Patients' participation in treatment decision making and health status," Korean Society for Quality in Health Care, Vol.24, No.1, pp.40-52, 2018. https://doi.org/10.14371/QIH.2018.24.1.40   DOI
27 윤난희, "환자의 치료 의사결정 참여와 건강수준," 한국의료질향상학회지, 제24권, 제1호, pp.40-52, 2018.   DOI