中华现代护理杂志2024,Vol.30Issue(4) :427-432.DOI:10.3760/cma.j.cn115682-20230419-01532

老年冠心病PCI术后患者运动康复障碍因素的质性研究

A qualitative study on factors hindering exercise rehabilitation in aged patients with coronary heart disease after percutaneous coronary intervention

邱小英 陈斯瑾 邹灏宇 张艳 石泽亚
中华现代护理杂志2024,Vol.30Issue(4) :427-432.DOI:10.3760/cma.j.cn115682-20230419-01532

老年冠心病PCI术后患者运动康复障碍因素的质性研究

A qualitative study on factors hindering exercise rehabilitation in aged patients with coronary heart disease after percutaneous coronary intervention

邱小英 1陈斯瑾 1邹灏宇 2张艳 3石泽亚4
扫码查看

作者信息

  • 1. 湖南省人民医院/湖南师范大学附属第一医院泌尿外科,长沙 410005
  • 2. 湖南省人民医院/湖南师范大学附属第一医院消化内科,长沙 410005
  • 3. 湖南省人民医院/湖南师范大学附属第一医院心血管内科,长沙 410005
  • 4. 湖南省人民医院/湖南师范大学附属第一医院科研部,长沙 410005
  • 折叠

摘要

目的 了解老年冠心病经皮冠状动脉介入治疗(PCI)术后患者参与运动康复的障碍因素,为临床干预提供参考.方法 采用立意抽样法,选择2022年1-6月于湖南省人民医院心血管内科行PCI的老年冠心病患者为研究对象进行半结构式访谈,采用内容分析法分析资料.结果 老年冠心病患者PCI术后运动康复障碍因素可归纳为内源性因素和外源性因素2大类,内源性因素提炼出认识不足、疾病不良体验、衰弱和躯体功能障碍、自我感知不良4个主题;外源性因素提炼出心脏康复处方和项目缺乏、社会环境障碍因素、家庭支持不足、医保支付受限4个主题.结论 老年冠心病PCI术后患者运动康复障碍因素复杂多样,在开展运动康复之前,医护人员应充分了解个人的健康状况、康复需求及限制因素,提供可实现的康复内容和形式.

Abstract

Objective To understand the factors hindering exercise rehabilitation in aged patients with coronary heart disease(CHD)after percutaneous coronary intervention(PCI)and provide a reference for clinical interventions.Methods Aged CHD patients who underwent PCI in the Department of Cardiovascular Medicine at Hunan Provincial People's Hospital from January to June 2022 were selected by purposive sampling and underwent semi-structured interviews.Content analysis was employed for data analysis.Results The factors hindering exercise rehabilitation in aged CHD patients after PCI can be categorized into two major groups:endogenous factors and exogenous factors.Endogenous factors were categorized into four themes:inadequate understanding,adverse disease experiences,weakness and physical dysfunction,and poor self-perception.Exogenous factors were categorized into four themes:lack of cardiac rehabilitation prescriptions and programs,social environmental barriers,insufficient family support,and restricted medical insurance coverage.Conclusions The factors hindering exercise rehabilitation in aged CHD patients after PCI are diverse and complex.Prior to implementing exercise rehabilitation,healthcare professionals should thoroughly assess individuals'health conditions,rehabilitation needs,and limiting factors,and provide feasible rehabilitation content and formats.

关键词

冠心病/经皮冠状动脉介入治疗/心脏康复/障碍因素/质性研究

Key words

Coronary heart disease/Percutaneous coronary intervention/Cardiac rehabilitation/Hindering factor/Qualitative study

引用本文复制引用

基金项目

湖南省卫生健康委员会一般资助课题(202114012086)

出版年

2024
中华现代护理杂志
中华医学会

中华现代护理杂志

CSTPCD
影响因子:1.14
ISSN:1674-2907
参考文献量28
段落导航相关论文