慢性阻塞性肺疾病患者肺康复体验的质性研究

doi:10.3761/j.issn.0254-1769.2020.05.011

中华护理杂志 ›› 2020, Vol. 55 ›› Issue (5): 696-702.DOI: 10.3761/j.issn.0254-1769.2020.05.011

慢性阻塞性肺疾病患者肺康复体验的质性研究

王秀秀,蒋玉宇(),王姗姗,黄薇,周春香,华皎,蒋为,许光清

214122 无锡市江南大学无锡医学院（王秀秀,蒋玉宇,王姗姗,黄薇）;江南大学附属医院呼吸科（周春香,华皎）;江苏省荣军医院（蒋为）;无锡市惠山区康复医院（许光清）

收稿日期:2019-08-05 出版日期:2020-05-15 发布日期:2020-05-08
通讯作者: 蒋玉宇
作者简介:王秀秀:女,本科（硕士在读）,E-mail: Wangchn1949@163.com
基金资助:
无锡市卫生和计划生育委员会基金(MS201622)

A qualitative study on coping strategies of pulmonary rehabilitation barriers in patients with chronic obstructive pulmonary disease

WANG Xiuxiu,JIANG Yuyu(),WANG Shanshan,HUANG Wei,ZHOU Chunxiang,HUA Jiao,JIANG Wei,XU Guangqing

Received:2019-08-05 Online:2020-05-15 Published:2020-05-08
Contact: Yuyu JIANG

摘要/Abstract

摘要：

目的探讨COPD患者肺康复的影响因素及肺康复障碍的应对策略。方法采用目的抽样和理论抽样的方法,于2016年6月—2017年6月对符合纳入、排除标准的9例COPD患者、8名医生和7名护士进行半结构式访谈,应用扎根理论三级编码的方法进行资料分析。结果 COPD患者肺康复的影响因素包括个体因素、家庭因素和肺康复环境;其应对策略包括激励、安全保障、肺康复合作和肺康复理念的推广等。结论应对COPD患者肺康复障碍是慢性病管理的挑战之一,肺康复影响因素的识别和肺康复障碍应对策略的提出可为COPD患者肺康复计划的制订和实施提供参考依据。

关键词: 慢性阻塞性肺疾病, 肺康复, 障碍, 质性研究

Abstract:

Objective To explore the influencing factors and coping strategies of pulmonary rehabilitation barriers in patients with chronic obstructive pulmonary disease（COPD）. Methods Objective sampling and theoretical sampling were used to select 9 patients with COPD,8 doctors and 7 nurses for semi-structured interviews from June,2016 to June,2017,and the data was analyzed by three-level coding of the grounded theory. Results The influencing factors of pulmonary rehabilitation barriers in patients with COPD included individual factors,family factors and pulmonary rehabilitation environment. The coping strategies of pulmonary rehabilitation barriers in patients with COPD included incentives,safety assurance,cooperation in pulmonary rehabilitation and promotion of pulmonary rehabilitation concept. Conclusion Coping with pulmonary rehabilitation barriers is one of the inevitable challenges to promote chronic disease management. Further identification of influencing factors of pulmonary rehabilitation and the proposal of coping strategies for pulmonary rehabilitation obstacles will provide references for the formulation and implementation of pulmonary rehabilitation plans for patients with COPD.

Key words: Chronic Obstructive Pulmonary Disease, Pulmonary Rehabilitation, Barrier, Qualitative Study

王秀秀, 蒋玉宇, 王姗姗, 黄薇, 周春香, 华皎, 蒋为, 许光清. 慢性阻塞性肺疾病患者肺康复体验的质性研究[J]. 中华护理杂志, 2020, 55(5): 696-702.

WANG Xiuxiu, JIANG Yuyu, WANG Shanshan, HUANG Wei, ZHOU Chunxiang, HUA Jiao, JIANG Wei, XU Guangqing. A qualitative study on coping strategies of pulmonary rehabilitation barriers in patients with chronic obstructive pulmonary disease[J]. Chinese Journal of Nursing, 2020, 55(5): 696-702.

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慢性阻塞性肺疾病患者肺康复体验的质性研究

A qualitative study on coping strategies of pulmonary rehabilitation barriers in patients with chronic obstructive pulmonary disease

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