腹腔镜袖状胃切除术后患者生活体验的质性研究  

Qualitative study on the life experience of patients after laparoscopic sleeve gastrectomy

作　　者：杨言 谢铭 郑喜兰 岑巧 任敏敏 冉小芳 Yang Yan;Xie Ming;Zheng Xilan;Cen Qiao;Ren Minmin;Ran Xiaofang(Department of Digestive Diseases,Affiliated Hospital of Zunyi Medical University,Department of General Surgery,Affiliated Hospital of Zunyi Medical University,Zunyi 563000,China;School of Nursing,Zunyi Medical University,Zunyi 563000,China)

机构地区：[1]遵义医科大学附属医院消化病医院,遵义医科大学附属医院普外科,遵义563000 [2]遵义医科大学护理学院,遵义563000

出　　处：《中华现代护理杂志》2025年第11期1423-1429,共7页Chinese Journal of Modern Nursing

基　　金：2022年度遵义市科技计划项目[遵市科合HZ字(2022)211号]。

摘　　要：目的探讨腹腔镜袖状胃切除(LSG)患者术后6个月内的真实生活体验,旨在为制订干预方案提供参考依据。方法本研究为描述性现象学研究,采用目的性抽样和最大差异化抽样,选取2023年2—8月于遵义医科大学附属医院接受LSG术后6个月内的24例患者进行半结构式深入访谈,采用Colaizzi 7步分析法归纳和提炼主题。结果通过分析提炼出6个主题、10个亚主题,分别为渴望改善术后躯体症状(胃肠道症状、脱发、神经系统症状、全身症状);主观情绪的感知(忧虑、后悔、恐惧、自信);社会适应能力下降(工作能力下降、社交能力受损);依从性普遍较低;渴望专业化指导;术后益处的发现。结论LSG患者术后6个月主要存在躯体症状困扰、心理状态不良、社会适应能力下降、依从性低、渴望专业化指导等问题,同时患者也感受到术后多种益处。医护人员应加强LSG患者术后症状动态化评估及管理,疏导患者心理,强化社会支持,积极开展并完善随访和延续护理,帮助患者提高自我应对能力及减重效果。Objective To explore the real-life experiences of patients six months after laparoscopic sleeve gastrectomy(LSG),aiming to provide a reference for developing intervention plans.Methods This was a descriptive phenomenological study.Purposeful sampling and maximum variation sampling were used to select 24 patients who underwent LSG at the Affiliated Hospital of Zunyi Medical University from February to August 2023.Semi-structured in-depth interviews were conducted,and the Colaizzi 7-step analysis method was applied to inductively extract and refine the themes.Results A total of six main themes and ten sub-themes were identified through analysis.The main themes were:desires to improve postoperative physical symptoms(gastrointestinal symptoms,hair loss,neurological symptoms,and general symptoms);perception of subjective emotions(anxiety,regret,fear,and confidence);decreased social adaptability(decline in work ability,impaired social skills);general low compliance;desire for professional guidance;and postoperative benefit finding.Conclusions Six months after LSG,patients primarily experienced physical symptom disturbances,poor psychological states,decreased social adaptability,low compliance,and a desire for professional guidance.However,they also recognized various benefits of the surgery.Healthcare providers should strengthen dynamic symptom assessments and management,guide patients psychologically,enhance social support,and actively improve follow-up and continuous care to help patients improve self-coping abilities and weight loss outcomes.

关 键 词：质性研究 减重代谢 腹腔镜袖状胃切除术 生活体验 益处发现 

分 类 号：R473.6[医药卫生—护理学]