Objective To understand the dilemma of active management in young and middle-aged postoperative patients with lumbar disc herniation,in order to provide reference for the formulation of active intervention program of self-health management meeting the needs of patients.Methods Using the phenomenological research method,a total of 16 middle-aged and young patients with lumbar disc herniation were selected for semi-structured in-depth interviews,and the themes were analyzed and extracted by Colaizzi 7-step analysis method.Results Three themes and nine sub-themes were extracted namely,inadequate disease response capacity and response resources(lack of disease symptom management capacity,limited access to disease management information,difficult use of disease management information,difficulty in maintaining positive self-management for a long time(forced to stop behavior change due to stress,lack of motivation to achieve good behavior change,doubts about the effectiveness of self-management)and multi-dimensional negative emotions(contrast between maintaining independence and dependence on others,fear of being misunderstood,fear of relapse).Conclusions Medical staff should provide comprehensive health information services for young and middle-aged postoperative patients with lumbar disc herniation,improve the out-of-hospital follow-up mechanism with the help of information technology,further improve family and social support strategies,reduce the difficulties faced in the process of active management and achieve long-term active disease management.
关键词
腰椎间盘突出症/患者积极度/自我管理/困境/中青年
Key words
Lumbar disc herniation/Patient activation/Self-management/Dilemma/Young and middle-aged
维普
万方数据