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肺移植患者居家肺康复自我管理行为决策体验的质性研究

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目的 探讨肺移植患者居家肺康复自我管理行为决策体验。方法 采用目的抽样对某三级甲等医院复诊的16名肺移植患者进行半结构式访谈,采用解释现象学分析法进行资料分析。结果 共提炼出7个亚主题,归纳为3个主题,包括:行为态度、身心感知牵动决策态度;主观规范,社会因素驱动决策信念;知觉行为控制,自我感知左右决策意向。结论 肺移植患者居家健康管理可通过强化行为决策心理体验的正向反馈、完善社会支持网络下患者主动参与决策机制,以及探索构建肺移植患者居家健康管理社区扶助模式,改善其居家肺康复自我管理行为。
Decision-making Experiences of Home-based Lung Rehabilitation Behaviors in Patients with Lung Transplant:A Qualitative Study
Objective To explore the experiences of decision-making of home-based pulmonary rehabilita-tion self-management behaviors in lung transplant patients.Methods The purposive sampling method was used to conduct semi-structured interviews with 16 lung transplant patients who attended follow-up visits in a tertiary A hospital.Data were analyzed using interpretative phenomenological analysis.Results A total of 3 themes including 7 subthemes were identified,namely attitudes(physical and mental perceptions influ-encing decision-making attitudes),subject norms(social factors drive decision-making beliefs)and per-ceived behavior control(self-perception shaping decision-making intentions).Conclusions Home-based health management for lung transplant patients can be improved by strengthening the positive feedback of the psychological experience of behavioral decision-making,improving the mechanism of patients'active participation in decision-making under the social support network,and exploring the construction of a com-munity support model for home health management of lung transplant patients,thereby to improve their self-management behavior in home-based pulmonary rehabilitation.

lung transplantationpulmonary rehabilitationself-managementqualitative researchnursing

张莹湘、蔡英华、周海琴、万霞、王姗、赵庆

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南京医科大学附属无锡人民医院肺移植中心,江苏无锡 214023

无锡市人民医院老年科,江苏无锡 214023

南京医科大学护理学院,江苏南京 211166

无锡市人民医院心内科

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肺移植 肺康复 自我管理 质性研究 护理

无锡市医学创新团队

CXTD2021021

2024

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(2)
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