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江苏卫生事业管理:2023,Vol.>>Issue(7):913-918
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基于扎根理论的消化道肿瘤患者就医行为决策模式的构建△
李前文,仲小敏,周 玮,陈 欢,季国忠*
(南京医科大学医政学院,泰康仙林鼓楼医院肿瘤科;南京医科大学附属淮安第一医院肿瘤科;南京医科大学医政学院,南京医科大学第二附属医院院部)
Construction of a Decision-making Model for Medical-seeking Behavior of Patients with Gastrointestinal Tumors Based on Grounded Theory△
LI Qianwen,ZHONG Xiaomin,ZHOU Wei,CHEN Huan,JI Guozhong*
(School of Health Policy and Management,Nanjing Medical University,Department of Oncology,TaikangXianlin Drum Tower Hospital;Department of Oncology,The Affiliated Huai’an No.1 People’s Hospital of Nanjing Medical University;School of Health Policy and Management,Nanjing Medical University,President’s Office,The Second Affiliated Hospital of Nanjing Medical University)
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中文摘要: 目的:通过对消化道肿瘤患者就医行为问卷调查和访谈的质性分析,基于扎根理论构建患者就医行为决策模式,为引导患者科学就医提供理论参考。方法:于2022年7月—2023年2月对140例消化道肿瘤患者进行了就医行为问卷调查,并结构化访谈20名医护人员。应用质性研究分析工具NVivo11中文版软件,对调查问卷和访谈材料进行词频分析、节点编码等质性研究,并进行理论饱和度检验。结果:通过词频查询生成词云图和高频词统计表,对调查问卷和访谈资料进行三级节点编码,得到5个父节点、12个子节点,基于文献研究、扎根理论和决策理论,经过反复比较、分析和归类,提炼出时机选择、医院选择、治疗选择、应对选择和支付选择五个核心范畴,构建消化道肿瘤患者就医行为决策模式的理论框架。结论:消化道肿瘤患者就医行为决策模式的提出和对策建议,可以帮助患者回归理性就医、合理利用医疗资源,有效防治肿瘤、促进健康。
中文关键词: 消化道肿瘤  就医行为  扎根理论
Abstract:Objective:To qualitatively analyze the questionnaire and interview data of patients with gastrointestinal tumors seeking medical treatment,and construct a decision-making model for patients with gastrointestinal tumors based on grounded theory,so as to provide a theoretical reference for guiding patients to seek medical treatment scientifically. Methods:In this study,from July 2022 to February 2023,a questionnaire survey was conducted on 140 patients with gastrointestinal tumors,and 20 medical staff were interviewed in a structured manner. Using the qualitative research analysis tool NVivo11 Chinese version software,conduct qualitative research on questionnaires and interview materials such as word frequency analysis,node coding,and theoretical saturation testing. Results:The word cloud map and statistical table of high frequency words was generated by word frequency query. Three-level node coding was carried out on the questionnaire and interview data,and 5 parent nodes and 12 child nodes were obtained. Based on previous literature research,grounded theory and decision theory,after repeated comparisons,analyzes and classifications,The five core categories of timing selection,hospital selection,treatment choice,coping choice and payment choice construct a theoretical framework for the decision-making model of medical treatment behavior of patients with gastrointestinal tumors. Conclusion:The decision-making model and countermeasures for patients with gastrointestinal tumors can help patients return to rational medical treatment behavior,rationally use medical resources,choose appropriate and moderate medical and health services,effectively prevent and treat tumors,and promote health.
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基金项目:江苏省卫生计生委重点学科建设项目(ZDXKA2016010) 江苏省卫生计生委重点学科建设项目(ZDXKA2016010)
引用文本:
李前文,仲小敏,周 玮,陈 欢,季国忠*.基于扎根理论的消化道肿瘤患者就医行为决策模式的构建△[J].江苏卫生事业管理,2023,34(7):913-918.
LI Qianwen,ZHONG Xiaomin,ZHOU Wei,CHEN Huan,JI Guozhong*.Construction of a Decision-making Model for Medical-seeking Behavior of Patients with Gastrointestinal Tumors Based on Grounded Theory△[J].Jiangsu Health System Management,2023,34(7):913-918.

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