慢性C型肝炎患者接受干擾素合併Ribavirin治療的決策過程

The Decision-making Process of Receiving Interferon Plus Ribavirin Therapy for Patients with Chronic Hepatitis C

張淑娟(Shu-Chuan Chang) ； 陳淑雯(Shu-Wen Chen) ； 陳淑貞(Shu-Jen Chen) ； 陳筱瑀(Hsiao-Yu Chen) ； 楊勝舜(Sheng-Shun Yang)

《長庚護理》 18卷1期 (2007/03) Pp. 21-31

https://doi.org/10.6386/CGN.200703_18(1).0003

摘要

本研究目的在探討慢性C型肝炎患者接受干擾素合併ribavirin治療的決策過程，以現象學的研究法自中部某醫學中心訪談十位接受干擾素合併ribavirin治療的慢性C型肝炎患者，以半結構且深入的方式進行訪談，所有訪談內容均予以錄音並轉換成文子。以Giorgi的現象學方法分析所收集的資料，研究結果歸納出三個主要概念會影響其決策過程，包括：(1)治療的動機，(2)資訊的探索，(3)猶豫與決定。藉此深入了解這些個案的治療決策經驗，可做爲護理人員設計合適的諮詢內容與衛教方案。

關鍵字

C型肝炎 ； 干擾素合併ribavirin治療 ； 決策過程 ； 現象學研究

並列摘要

The purpose of this study was to explore the decision-making process of receiving interferon plus ribavirin therapy for patients with chronic hepatitis C. Ten patients were interviewed by an open-ended, semi-structured, and non-guided questionnaire. The contents of the interview were audio-taped and transcribed. Data were analyzed using Giorgi's phenomenological method. Results were organized into the following three categories: (1) The motivation of treatment, (2) Information seeking process, (3) Hesitation and decision-making. Understanding of the experiences of these patients enables nurses to design appropriate counseling and education programs to meet their needs.

並列關鍵字

hepatitis C ； interferon plus ribavirin therapy ； decision-making process ； phenomenological research