老年骨质疏松症患者患病体验的质性研究
Experience of Elderly Patients with Osteoporosis:A Qualitative Study
祁佩瑶 1宋咪 2李楠 3高远 4皮红英5
作者信息
- 1. 解放军医学院学员一大队,北京 100853;解放军总医院第二医学中心内分泌科,北京 100853
- 2. 解放军医学院学员一大队,北京 100853
- 3. 解放军总医院第二医学中心内分泌科,北京 100853
- 4. 解放军总医院第一医学中心护理部,北京 100853
- 5. 解放军总医院卫勤训练中心,北京 100853
- 折叠
摘要
目的 探讨老年骨质疏松症(osteoporosis,OP)患者的患病体验,为制订相关护理方案提供参考.方法 采用现象学研究方法,以目的抽样法选取北京市某三级甲等医院 16 例老年 OP患者进行半结构式深度访谈,根据 Colaizzi 分析法对访谈资料进行整理分析.结果 可归纳为 4 个主题:感知运动益处不足;恐惧跌倒;自我感受负担;期望寻求外部支持.结论 老年 OP患者在疾病过程中存在多维度的问题和需求,医护人员应重视患者在疾病不同阶段的需求,在防治 OP 的同时联合运动指导、跌倒预防、心理干预、延续照护,探索和验证有效的护理干预方案,降低脆性骨折发生风险,提升患者的生活质量.
Abstract
Objective To explore the experience of elderly patients with osteoporosis(OP)and to provide reference for formulating relevant nursing plans.Methods A phenomenological study was conducted and purposive sampling method was used to select 16 elderly patients with OP in a tertiary hospital in Beijing for semi-structured interviews.The Colaizzi analysis method was used for data analysis.Results Four themes were extracted,including insufficient perceived benefits of exercise,fear of falling,self-perceived burden,and expectation to seek external support.Conclusions Elderly patients with OP have multidimen-sional problems and needs during the course of the disease.Medical staff should pay attention to the pa-tients'needs at different stages of the disease.While preventing and treating OP,they should explore and validate effective nursing intervention programs combined with guidance on exercises,fall prevention,psy-chological interventions,and extended care,so as to reduce the risk of fragility fractures and improve pa-tients'quality of life.
关键词
老年人/骨质疏松症/体验/质性研究Key words
the erlderly/osteoporosis/experience/qualitative study引用本文复制引用
基金项目
国家重点研发计划(2018YFC2001400)
出版年
2024
NETL
NSTL
维普
万方数据