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首页> 外文期刊>Patient Preference and Adherence >Exploring beliefs about heart failure treatment in adherent and nonadherent patients: use of the repertory grid technique
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Exploring beliefs about heart failure treatment in adherent and nonadherent patients: use of the repertory grid technique

机译：探索对依从性和非依从性患者心力衰竭治疗的信念：使用库式栅格技术

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Purpose: Beliefs about medicines impact on adherence, but eliciting core beliefs about medicines in individual patients is difficult. One method that has the potential to elicit individual core beliefs is the "repertory grid technique." This study utilized the repertory grid technique to elicit individuals' beliefs about their heart failure treatment and to investigate whether generated constructs were different between adherent and nonadherent patients.Methods: Ninety-two patients with heart failure were interviewed using a structured questionnaire that applied the repertory grid technique. Patients were asked to compare and contrast their medicines and self-care activities for their heart failure. This lead to the generation of individual constructs (perceptions towards medicines), and from these, beliefs were elicited about their heart failure treatment, resulting in the generation of a repertory grid. Adherence was measured using the Medication Adherence Report Scale (MARS). Patients with a MARS score ≥ 23 were categorized as "adherent" and those with a score ≤ 22 as "nonadherent." The generated grids were analyzed descriptively and constructs from all grids themed and the frequency of these constructs compared between adherent and nonadherent patients.Results: Individual grids provided insight into the different beliefs that patients held about their heart failure treatment. The themed constructs "related to water," "affect the heart," "related to weight," and "benefit to the heart" occurred more frequently in adherent patients compared with nonadherent patients.Conclusion: The repertory grid technique elicited beliefs of individual participants about the treatment of their heart failure. Constructs from self-reported adherent patients were more likely to reflect that their medicines and self-care activities were related to water and weight, and affect and benefit to the heart. Providing clinicians with better insight into individuals' beliefs about their treatment may facilitate the development of tailored interventions to improve adherence.
机译：目的：关于药物的信念会影响依从性，但要在个体患者中激发关于药物的核心信念是困难的。一种可能引起个人核心信念的方法是“语言网格技术”。这项研究利用储备库技术来激发人们对心力衰竭治疗的信念，并调查依从性和非依从性患者之间产生的结构是否不同。方法：使用结构性问卷调查了92名心衰患者网格技术。要求患者比较和对比其心力衰竭的药物和自我保健活动。这导致了个体结构的产生（对药物的感知），并由此引发了人们对其心力衰竭治疗的信念，从而产生了储备库。使用药物依从性报告量表（MARS）测量依从性。 MARS得分≥23的患者被分类为“依从性”，得分≤22的患者被分类为“不依从”。对生成的网格进行描述性分析，并以所有网格为主题进行分析，并比较依从性患者和非依从性患者的这些构建器的频率。结果：单个网格提供了患者对心力衰竭治疗的不同看法的见解。与非依从患者相比，依从患者中“与水有关”，“对心脏有影响”，“与体重有关”和“对心脏有益”的主题构造发生得更为频繁。结论：网格法引起了个体参与者的信念关于他们的心力衰竭的治疗。来自自我报告的依从性患者的构建体更有可能反映出他们的药物和自我护理活动与水和体重有关，并且对心脏有影响和有益。为临床医生提供更好的洞察力，使他们了解个人对其治疗的看法，可能有助于制定有针对性的干预措施，以提高依从性。

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