首页|老年早期肺癌患者术前预康复感知的质性研究

老年早期肺癌患者术前预康复感知的质性研究

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目的 了解老年早期肺癌患者对术前预康复的感知,为制定术前预康复方案提供依据.方法 采用描述性质性研究方法,以目的抽样法选取术前接受过预康复健康教育的老年早期肺癌患者15例进行半结构式深入访谈,并以内容分析法归纳和提炼主题.结果 提炼出4个主题:术前预康复的意向(态度积极、愿意尝试接受、缺乏行为动机)、术前预康复的益处(利于适应手术、改善术后结局)、术前预康复障碍(环境设施障碍、安全问题、准备时间不足)、术前预康复需求(信息咨询需求、完善方案需求、联系支持需求).结论 老年早期肺癌患者对术前预康复有积极接受的倾向,术前预康复有助于加速术后康复.医护人员应开展个性化教育促进患者实施术前预康复、构建适老化术前预康复方案、完善联系支持体系,以提高术前预康复的适宜性.
Perception of prehabilitation in elderly patients with early lung cancer:a qualitative study
Objective To understand the perception of prehabilitation in elderly patients with early lung cancer,so as to provide a reference for developing prehabilitation programs for this population.Methods The descriptive qualitative study method was uti-lized,and 15 elderly patients with early lung cancer who had received prehabilitation education before surgery were purposively se-lected to conduct semi-structured in-depth interviews,then the interview data were summarized and themes were refined by using content analysis.Results A total of four themes were refined:the intention of prehabilitation(positive attitude,willing to try and accept,and lack of behavioral motivation),the advantages of prehabilitation(conducive to adapting to surgery,and improving postoperative outcomes),the obstacles of prehabilitation(environmental facilities barriers,safety problem,and insufficient prepa-ration time),and the needs of prehabilitation(information consultation needs,improvement program needs,and contact support needs).Conclusion The elderly patients with early lung cancer are prone to accept prehabilitation,which is conducive to accelerating recovery after surgery.Medical staff should conduct personalized education to promote implementation of patient prehabilitation,develop elderly-oriented prehabilitation program,and improve the contact support system,so as to further increase the suitability of prehabilitation.

the elderlylung cancerprehabilitationhealth educationexercise trainingnutrition supportpsychological supportqualitative study

张蕊、夏露、吴美、程云

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复旦大学附属华东医院日间手术病房(上海,200040)

复旦大学护理学院

老年人 肺癌 预康复 健康教育 运动训练 营养支持 心理支持 质性研究

上海市科学技术委员会临床医学研究项目上海市科学技术委员会立项课题2021年上海申康医院发展中心临床科技创新项目

21MC193020016411951200SHDC22021218

2024

10.3870/j.issn.1001-4152.2024.02.019

护理学杂志
华中科技大学同济医学院

护理学杂志

CSTPCD北大核心
影响因子：2.062
ISSN：1001-4152
年,卷(期)：2024.39(2)
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