急性加重期慢性阻塞性肺疾病患者肺康复运动锻炼不依从原因的质性研究  

A qualitative research on the causes of non-adherence to pulmonary rehabilitation exercise in patients with acute exacerbation of chronic obstructive pulmonary disease

作　　者：金梦妮[1] 张蓓蕾[1] 陈达奇 杨冬梅 Jin Mengni;Zhang Beilei;Chen Daqi;Yang Dongmei(Department of PCCM,the First Affiliated Hospital of Soochow University,Soochow 215006,China)

机构地区：[1]苏州大学附属第一医院呼吸与危重症医学科,215006

出　　处：《中国实用护理杂志》2020年第34期2660-2664,共5页Chinese Journal of Practical Nursing

基　　金：苏州市民生科技指导性项目(SYSD2018082)。

摘　　要：目的了解急性加重期慢性阻塞性肺疾病患者肺康复运动锻炼不依从的原因,为提高患者依从性提供理论和实践依据。方法采用质性研究中现象学研究方法,对18例运动锻炼不依从患者进行半结构式深入访谈,并采用Colaizzi分析法对资料进行分析,提炼主题。结果资料中提炼出共7个主题,分别是主客观症状影响、合并症限制、负性情绪干扰、效果感知不及预期、病区物态环境、病区意态环境以及锻炼方式不适宜。结论医护人员应当重视这些阻碍因素,并实施针对性措施,从而实现改善患者运动锻炼依从性的目标,让更多的患者完成肺康复运动锻炼。Objective To understand the reasons for non-adherence of pulmonary rehabilitation exercise in patients with acute exacerbation of COPD,and in order to provide theoretical and practical basis for improving patient adherence.Methods Using qualitative phenomenological research methods,eighteen patients of non-adherence with exercise were conducted deeply semi-structured interviews,and the Colaizzi analysis was used for data analysis and extracting themes.Results Seven themes were extracted:effect of subjective and objective symptoms,limited by comorbidity,negative mood disturbance,lack of perception effect,material environment in ward,cultural environment in ward and inappropriate form of exercise.Conclusions Health care providers should value these obstacles and implement targeted measures,in order to achieve the goal of improving exercise adherence,so that more patients would complete pulmonary rehabilitation exercise.

关 键 词：慢性阻塞性肺疾病 运动锻炼 不依从性 定性研究 

分 类 号：R473.5[医药卫生—护理学]