医院-家庭过渡期老年慢性心力衰竭患者运动体验的质性研究

doi:10.16460/j.issn1008-9969.2019.14.010

摘要/Abstract

摘要： 目的了解老年慢性心力衰竭患者医院-家庭过渡期运动体验,为制定过渡期干预方案,建立家属协同管理模式提供依据。方法采用质性研究中的现象学研究方法,对18例老年慢性心力衰竭患者进行半结构式访谈。借助Nvivo 10 软件,对访谈资料进行归纳分析并提炼主题。结果对访谈资料进行分析后得出本次研究的5个主题,即：患者缺乏康复运动知识、缺乏家庭支持、运动带来气促和疲劳等不适体验、运动受居住条件和疾病情况的影响、运动意愿受心理状态和既往锻炼习惯的影响。结论医院-家庭过渡期老年慢性心力衰竭患者缺乏康复运动指导,医护人员应加强患者医院到家庭过渡期的管理和运动干预,有针对性的提供康复运动指导。

关键词: 医院-家庭过渡期, 慢性心力衰竭, 运动体验, 质性研究

Abstract: Objective To understand the exercise experience of elderly patients with chronic heart failure during the transition period from hospital to family, and to provide the basis for formulating intervention plan during the transition period and establishing family collaborative management mode. Methods The phenomenological method of qualitative research was used to conduct semi-structured interview among 18 elderly patients with chronic heart failure and Nvivo 10 software was used to summarize the theme of the data. Results Five themes were extracted as described as follows: inadequate knowledge of home rehabilitation, lack of family support, discomfort such as shortness of breath and fatigue during the exercise, negative influence from living conditions and disease conditions, and exercise intention affected by mental state and past exercise habits. Conclusion Elderly patients with chronic heart failure in the transition period from hospital to family lack rehabilitation exercise guidance. Management and sports intervention and targeted guidance for rehabilitation sports are critical during the transition period.

Key words: hospital-family transition period, chronic heart failure, exercise experience, qualitative study

中图分类号:

R473.59

许可彩, 于卫华, 陈永倩, 戈倩, 吴康顺. 医院-家庭过渡期老年慢性心力衰竭患者运动体验的质性研究[J]. 护理学报, 2019, 26(14): 10-13.

XU Ke-cai, YU Wei-hua, Chen Yong-qian, GE Qian, WU Kang-shun. Qualitative Research on Exercise Experience of Ederly Patients with Chronic Heart Failure during Hospital-family Transition Period[J]. Journal of Nursing, 2019, 26(14): 10-13.

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