全髋、全膝关节置换术后患者院内康复锻炼行为影响因素的质性研究  

Influencing factors of rehabilitation exercise during hospitalization in patients after Total Hip Arthroplasty and Total Knee Arthroplasty:a qualitative study

作　　者：刘欢 唐思齐 吴红 傅利勤 吴菁 LIU Huan;TANG Siqi;WU Hong;FU Liqin;WU Jing(School of Basic Medicine,Naval Medical University,Shanghai,200433,China)

机构地区：[1]海军军医大学基础医学院,上海市200433 [2]海军军医大学基础医学院护理系,上海市200433 [3]海军军医大学第一附属医院关节骨科

出　　处：《中国护理管理》2024年第4期530-534,共5页Chinese Nursing Management

基　　金：国家自然科学基金项目(71904200);校深蓝护理科研项目登峰人才计划(2022KYD01)。

摘　　要：目的:深入探究影响关节置换术后患者院内康复锻炼行为的因素,以期为医护人员制定针对性干预措施以提高患者术后康复锻炼依从性提供指导。方法:采用目的抽样法,选取25例关节置换术后患者进行半结构式访谈,采用Colaizzi 7步分析法对访谈资料进行分析。结果:关节置换术后患者院内康复锻炼行为的影响因素可归为生理病理因素、心理精神因素、社会支持因素与康复护理因素4个主题和11个亚主题。结论:生理病理、心理精神、社会支持、康复护理多方因素影响关节置换患者术后康复行为,可通过多项举措控制患者疼痛及疲劳、增强患者自我效能、利用现代化信息手段满足患者康复知识需求、灵活管理病房以提高患者康复锻炼的依从性。Objective:To explore the factors affecting rehabilitation exercise behavior during postoperative hospitalization,in order to provide guidance for medical staff to formulate targeted intervention measures,improve patients'compliance with postoperative rehabilitation exercise.Methods:Using purposeful sampling,25 patients after joint replacement were selected for a semi-structured interview,and the interview data were analyzed by Colaizzi seven-step analysis.Results:The factors that influenced the exercise behavior of rehabilitation during the postoperative hospitalization can be classified into 4 themes and 11 subthemes:physiopathological factors,psychological factors,social support factors and rehabilitation nursing factors.Conclusion:Physiopathological factors,psychological factors,social support factors and rehabilitation nursing factors affect joint replacement patients with postoperative rehabilitation behavior.Multiple measures can be taken to control pain and fatigue,enhance self-efficacy,utilize modern information means to meet the demand of patients rehabilitation knowledge,actualize ward flexible management to improve patients'compliance with rehabilitation exercise.

关 键 词：关节置换 康复锻炼 依从性 现象学研究 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]