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
Decision-making Experiences of Home-based Lung Rehabilitation Behaviors in Patients with Lung Transplant:A Qualitative Study
张莹湘 1蔡英华 1周海琴 1万霞 2王姗 3赵庆4
作者信息
- 1. 南京医科大学附属无锡人民医院肺移植中心,江苏无锡 214023
- 2. 无锡市人民医院老年科,江苏无锡 214023
- 3. 南京医科大学护理学院,江苏南京 211166
- 4. 无锡市人民医院心内科
- 折叠
摘要
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.
Abstract
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.
关键词
肺移植/肺康复/自我管理/质性研究/护理Key words
lung transplantation/pulmonary rehabilitation/self-management/qualitative research/nursing引用本文复制引用
基金项目
无锡市医学创新团队(CXTD2021021)
出版年
2024
NETL
NSTL
维普
万方数据