慢性阻塞性肺疾病患者远程肺康复护理需求的质性研究  

Qualitative study on remote pulmonary rehabilitation nursing needs of patients with chronic obstructive pulmonary disease

作　　者：张义静 许勤[1] 李国宏[2] Zhang Yijing;Xu Qin;Li Guohong(School of Nursing,Nanjing Medical University,Nanjing 211166,China;Department of Nursing,the Affiliated Zhongda Hospital,Southeast University,Nanjing 210009,China;Department of Respiratory and Critical Care Medicine at the Zhongda Hospital Affiliated to Southeast University)

机构地区：[1]南京医科大学护理学院,南京211116 [2]东南大学附属中大医院护理部,南京210009 [3]东南大学附属中大医院呼吸与危重症医学科,南京210009

出　　处：《中国实用护理杂志》2023年第29期2263-2269,共7页Chinese Journal of Practical Nursing

基　　金：江苏省老年健康科研课题(LK2021021)。

摘　　要：目的了解COPD患者对远程肺康复的护理需求,为我国构建远程肺康复护理模式提供理论依据。方法采用质性研究中现象学研究法,于2022年3—5月采用目的抽样法选择东南大学附属中大医院呼吸科的14例COPD患者进行半结构式访谈,运用主题分析法对资料进行整理和分析。结果COPD患者对远程肺康复护理需求可归纳为3个主题,即自我保健的需求、社会支持的需求、信息系统的需求。结论COPD患者对远程肺康复仍有很多需求未得到满足,应根据患者的疾病特点和实际需求,成立多学科肺康复团队,提供个性化肺康复计划和持续监督管理,构建有效的交流平台,提供多角度社会支持,开发简便、易操作的应用程序和智能远程监测系统,以满足COPD患者肺康复需求,进一步提高其居家康复质量。Objective To understand the demands of patients with COPD for tele-pulmonary rehabilitation nursing,and to provide theoretical basis for the construction of tele-pulmonary rehabilitation nursing model in China.Methods The phenomenological approach of qualitative research was adopted in this study,purposive sampling method was used to select 14 COPD patients,who were admitted to the respiratory department of the Affiliated Zhongda Hospital,Southeast University from March to May 2022 for semi-structured interviews.Subject analysis was used to sort out and analyze the above interview data.Result The demands of COPD patients for tele-pulmonary rehabilitation nursing could be summarized into three themes,namely,self-care demands,social support demands,information system demands.Conclusions There were a large number of demands of COPD patients for tele-pulmonary rehabilitation remaining unmet.Therefore on the basis of patients′disease characteristics and actual needs,a multi-disciplinary team of pulmonary rehabilitation should be established to provide personalized pulmonary rehabilitation guidance and continuous supervision and management.In addition,effective communication platform should be set up to provide multiple perspectives of social support,and a intelligent tele-pulmonary rehabilitation system which could be operated easily should be developed to meet the pulmonary rehabilitation needs of COPD patients and further improve the quality of their home rehabilitation.

关 键 词：肺疾病 慢性阻塞性 远程医疗 肺康复 需求 定性研究 

分 类 号：R473.5[医药卫生—护理学]