中华现代护理杂志2024,Vol.30Issue(13) :1745-1749.DOI:10.3760/cma.j.cn115682-20230731-00283

老年全髋关节置换术患者早期运动康复体验和需求的质性研究

Qualitative study on early exercise rehabilitation experience and needs of elderly patients with total hip arthroplasty

朱小霞 徐曼 赵思佳 吴红 张欢 傅利勤 姜金霞 吴菁
中华现代护理杂志2024,Vol.30Issue(13) :1745-1749.DOI:10.3760/cma.j.cn115682-20230731-00283

老年全髋关节置换术患者早期运动康复体验和需求的质性研究

Qualitative study on early exercise rehabilitation experience and needs of elderly patients with total hip arthroplasty

朱小霞 1徐曼 2赵思佳 2吴红 1张欢 1傅利勤 1姜金霞 2吴菁3
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作者信息

  • 1. 海军军医大学第一附属医院骨科,上海 200433
  • 2. 同济大学附属第十人民医院急诊科,上海 200072
  • 3. 海军军医大学护理系,上海 200433
  • 折叠

摘要

目的 了解老年全髋关节置换术(THA)患者早期运动康复的真实体验和需求,为开展满足患者需求的干预研究提供前期依据.方法 采用目的抽样法,选取2021年6-9月海军军医大学第一附属医院的12例老年THA术后患者为研究对象进行半结构式深度访谈,采用Colaizzi 7步法分析、归纳、提炼资料.结果 老年THA患者早期运动康复体验和需求可归纳为:术后运动是一段艰难的旅程;专业支持的需求;外部支持的需求;内在驱动的需求4个主题和14个亚主题.结论 老年THA患者早期运动康复存在多方面的问题和需求,需加强医、护、患三方面的沟通,了解患者的真实感受,给予个体化护理和康复指导,从而改善患者的治疗体验,提升其满意度.

Abstract

Objective To understand the real experience and needs of early exercise rehabilitation in elderly patients with total hip arthroplasty(THA),so as to provide a preliminary basis for intervention research to meet the needs of patients.Methods Using the purposive sampling method,a total of 12 elderly patients with THA from the First Affiliated Hospital of Naval Medical University from June to September 2021 were selected as the research objects for semi-structured in-depth interviews.Colaizzi 7-step method was used to analyze,summarize and extract the data.Results The early exercise rehabilitation experience and needs of elderly THA patients could be summarized into four themes such as postoperative exercise being a difficult journey,the need for professional support,the need for external support and internally driven needs and 14 sub themes.Conclusions There are various problems and needs for early exercise rehabilitation in elderly patients undergoing THA.It is necessary to strengthen communication among doctors,nurses and patients,understand their true feelings and provide personalized care and rehabilitation guidance to improve their treatment experience and enhance their satisfaction.

关键词

老年人/髋关节置换术/早期运动康复/体验/需求/质性研究

Key words

Aged/Total hip arthroplasty/Early exercise rehabilitation/Experience/Needs/Qualitative study

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基金项目

国家自然科学基金青年项目(71904200)

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27
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