全磁悬浮左心室辅助装置植入患者居家康复体验的质性研究  

Experiences of home-based rehabilitation of individuals with fully magnetically levitated left ventricular assist device:a qualitative study

作　　者：翟忠昌 杨林杰[1] 王慧华[1] 曾珠[1] 胡玉婷 王晶[1] 杨赛 ZHAI Zhongchang;YANG Linjie;WANG Huihua;ZENG Zhu;HU Yuting;WANG Jing;YANG Sai

机构地区：[1]华中科技大学同济医学院附属协和医院心脏大血管外科,武汉市430022 [2]华中科技大学同济医学院附属协和医院护理部,武汉市430022

出　　处：《中华护理杂志》2025年第2期149-153,共5页Chinese Journal of Nursing

基　　金：华中科技大学同济医学院附属协和医院药护技项目(02.03.2019-189)。

摘　　要：目的了解全磁悬浮左心室辅助装置植入患者居家康复的真实感知,为临床制订科学的护理干预方案与随访策略提供依据。方法采用现象学研究法,于2022年9月—10月对武汉市某三级甲等综合医院13例全磁悬浮左心室辅助装置植入患者进行半结构化访谈,采用Colaizzi 7步分析法分析资料并提炼主题。结果共提炼出3个主题、9个亚主题:居家康复情感复杂(新角色的挑战、焦虑与担忧、重获新生与充满信心),居家自我管理困难(相关专业知识认知不足、运动锻炼不足、泵缆囊袋切口管理困难、体外控制器报警识别与应对能力弱),居家康复需求多样(延续性护理需求、渴望得到更多社会支持)。结论全磁悬浮左心室辅助装置植入术后患者居家康复过程中存在复杂的情感体验与诸多困难与需求。医护人员应积极关注患者术后心理变化,强化出院前培训,提高患者自我管理能力,积极搭建多方联动的互联网居家康复管理平台,共同提高患者康复质量。Objective To explore the home rehabilitation experience of individuals with fully magnetically levitated left ventricular assist device,and to provide a basis for developing scientific nursing intervention plans and follow-up strategies for clinical practice.Methods Using phenomenological research methods,a semi-structured interview was conducted on 13 patients with fully maglev left ventricular assist device implantation in a tertiary A comprehensive hospital in Wuhan from September to October 2022.Colaizzi’s 7-step analysis method was used to analyze the data and extract themes.Results A total of 3 themes and 9 subthemes were extracted,including complex emotions in home rehabilitation(challenges for new characters,anxieties and concerns,regaining new life and full of confidence),difficulties in home self-management(lack of professional knowledge,insufficient exercise,difficulty in managing pump cable bag wounds,weak ability to recognize and respond to external controller alarms),and needs for home rehabilitation(need for continuity of care,desire for more social support).Conclusion Complex emotional experiences and many difficulties and needs exist in the home rehabilitation process of patients after implantation of full magnetic levitation left ventricular assist device.Healthcare professionals should actively pay attention to the postoperative psychological changes of patients,strengthen pre-discharge training to improve patients’self-management ability,and actively build a multi-party Internet home rehabilitation management platform to improve the rehabilitation quality of patients.

关 键 词：左心室辅助装置 心力衰竭 居家康复 体验 质性研究 康复护理 

分 类 号：R473.6[医药卫生—护理学]