首页|急性心肌梗死患者心脏运动康复依从动机的质性研究

急性心肌梗死患者心脏运动康复依从动机的质性研究

Motivation for Adherence to Exercise-based Cardiac Rehabilitation in Patients with Acute Myo-cardial Infarction:A Qualitative Study

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目的 探究急性心肌梗死(acute myocardial infarction,AMI)行经皮冠状动脉介入(percutaneous coronary interven-tion,PCI)治疗患者心脏运动康复的依从动机,为提升患者运动康复参与及行为改变提供建议和依据.方法 采用描述性质性研究,通过目的抽样法选取 2021 年 7 月至 2022 年 1 月在上海某三级甲等医院复诊的 29 例 AMI患者进行半结构式深度访谈,其中 18 例来源于心脏康复中心、11 例来源于随访门诊.采用内容分析法整理访谈资料.结果 共提炼 3 个主题和 9 个亚主题:患者的运动体验(康复获益感、风险感知),患者的心理状态(悲观、恐惧、积极心态)和社会支持(家庭依恋及支持、专业指导及支持、同伴交流及支持、物理资源及支持).结论 护理人员应重视 AMI 行 PCI 治疗患者的运动体验、心理状态及社会支持情况,以提高患者心脏运动康复依从动机.
Objective To explore motivational factors influencing exercise-based cardiac rehabilitation ad-herence among patients with acute myocardial infarction(AMI)after percutaneous coronary intervention(PCI)and to provide suggestions and evidence for promoting patients'positive behaviors in exercise-based cardiac rehabilitation.Methods A descriptive qualitative study was conducted.Purposive sampling method was used to select 29 patients with AMI for semi-structured in-depth interviews,who were revisited at a tertiary hospital in Shanghai between July 2021 and January 2022.18 patients were from a cardiac rehabili-tation center and 11 from a follow-up clinic.The content analysis method was used for analyzing the inter-view data.Results Three themes and nine sub-themes were extracted,including patient's exercise experience(sense of benefit from exercise-based cardiac rehabilitation,perception of exercise-related risks),psychological state(pessimism,fear and positive mental attitude),and social support(family attachment and support,professional in-struction and support,peer communication and support,physical resources and support).Conclusions Nurses should pay attention to the patient's exercise experience,psychological state,and social support during the post-AMI period,so as to enhance their motivation for adherence to exercise-based cardiac rehabilitation.

acute myocardial infarctionexercise-based cardiac rehabilitationmotivation for adherencequalitative study

许莉、王喜益、陈菡芬、卜军、杨艳

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上海交通大学医学院附属仁济医院 护理部,上海 200127

上海交通大学护理学院,上海 200025

上海交通大学医学院附属仁济医院 心内科

急性心肌梗死 心脏运动康复 依从动机 质性研究

国家重点研发计划上海市青年科技英才"扬帆计划"项目上海交通大学医学院护理学科建设项目上海市高水平地方高校创新团队项目

2018YFC131280221YF1422400[2022]1号SHSMU-ZDCX20212800

2024

10.3969/j.issn.2097-1826.2024.01.006

军事护理
第二军医大学

军事护理

CSTPCD北大核心
影响因子：1.628
ISSN：2097-1826
年,卷(期)：2024.41(1)
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