%0 Journal Article %T 胸腔镜下肺癌根治术患者实施肺康复干预阻碍因素的质性研究
A Qualitative Study of Hindrance Factors for Pulmonary Rehabilitation Intervention in Patients Undergoing Thoracoscopic Radical Resection of Lung Cancer %A 苏建萍 %A 王慧慧 %A 李雪 %A 马丽丽 %A 马静 %A 叶金婵 %A 孙皎 %J Nursing Science %P 12-19 %@ 2168-5614 %D 2021 %I Hans Publishing %R 10.12677/NS.2021.101003 %X
目的:从患者的视角探讨将肺康复纳入常规肺癌临床治疗的阻碍因素,为制定全面的有针对性的临床实践干预提供参考依据。方法:采用现象学研究的方法,对15名胸腔镜下肺癌根治术患者进行半结构式深入访谈,并应用Colaizzi内容分析法分析资料。结果:胸腔镜下肺癌根治术患者实施肺康复干预阻碍的因素可归纳为5个主题:知识、信念和医护人员提供信息的重要性;症状负担;营养失调;体重下降;社会支持和环境。结论:肺癌根治术患者实施肺康复的阻碍因素是多方面的,医护人员应深入了解肺癌患者的身心感受,增加肺癌患者肺康复知识教育,提供常见症状的管理措施,加大社会支持力度和改善患者运动环境,为肺癌患者提供一个精细的、以肺癌患者为中心的针对性的肺康复计划,以促进肺康复的实施,促进患者的快速康复。
Objective: From the perspective of patients, the obstacles of including lung rehabilitation in routine clinical treatment of lung cancer were discussed, so as to provide a reference for the development of comprehensive and targeted clinical practice intervention. Methods: In this study, 15 patients underwent radical thoracoscopic lung cancer were interviewed by phenomenological method, and the data were analyzed by Colaizzi content analysis method. Results: The factors that hinder the implementation of pulmonary rehabilitation intervention in patients undergoing thoracoscopic radical resection of lung cancer can be summarized into five themes: knowledge, belief, and the importance of information provided by medical staff; Symptom burden; Malnutrition; Weight loss; Social support and environment. Conclusion: Implementation of pulmonary rehabilitation in patients with lung cancer radical inhibitors are various, medical staff should have a thorough understanding of lung cancer patients feeling of body and mind, increase in lung cancer patients with pulmonary rehabilitation knowledge education, provide a common symptom of management measures, strengthen social support and improve patient movement environment, provides patients with lung cancer with a delicate, centered on lung cancer patients of pulmonary rehabilitation program, in order to promote the implementation of the pulmonary rehabilitation, promote the rapid recovery of the patients.
%K 肺癌,肺康复,障碍,质性研究
Lung Cancer %K Pulmonary Rehabilitation %K Disorders %K Qualitative Research %U http://www.hanspub.org/journal/PaperInformation.aspx?PaperID=40329