中华护理杂志 ›› 2026, Vol. 61 ›› Issue (20): 2795-2801.DOI: 10.3761/j.issn.0254-1769.2026.20.008

• 专科护理实践与研究 • 上一篇    下一篇

青少年特发性脊柱侧弯患者康复训练体验的质性研究

武霞1(), 徐振2, 党娜1, 朱春燕1,*()   

  1. 1 青岛大学附属泰安市中心医院康复医学科 泰安市 271000
    2 青岛大学附属泰安市中心医院重症医学科 泰安市 271000
  • 收稿日期:2025-12-12 出版日期:2026-10-20 发布日期:2026-10-12
  • *通讯作者: 朱春燕,E-mail:zcy1980lg@163.com
  • 作者简介:武霞:女,硕士,主管护师,E-mail:1031636980@qq.com
    第一联系人:

    武霞:研究设计、资料收集及分析、论文撰写、基金支持;徐振:资料收集及分析、论文审阅与修改;党娜:研究指导;朱春燕:研究设计、研究指导、论文审阅与修改

  • 基金资助:
    泰安市科技创新发展项目(政策引导类)(2023NS319)

A qualitative study on the rehabilitation training experience of adolescents with idiopathic scoliosis

WU Xia1(), XU Zhen2, DANG Na1, ZHU Chunyan1,*()   

  1. 1 Department of Rehabilitation Medicine, the Affiliated Tai’an City Central Hospital of Qingdao University, Tai’an 271000, China
    2 Intensive Care Unit, the Affiliated Tai’an City Central Hospital of Qingdao University, Tai’an 271000, China
  • Received:2025-12-12 Online:2026-10-20 Published:2026-10-12
  • * Corresponding author: ZHU Chunyan,E-mail:zcy1980lg@163.com
  • Funding program:
    Tai’an Science and Technology Innovation Development Project(Policy Guidance Category)(2023NS319)

摘要:

目的 深入了解青少年特发性脊柱侧弯患者的康复训练体验,为优化康复方案、提高训练依从性提供依据。方法 采用目的抽样法,选取2025年7—9月于泰安市某三级甲等医院就诊的12例青少年特发性脊柱侧弯患者进行半结构式访谈,运用Colaizzi 7步分析法对访谈资料进行整理与分析。结果 提炼出5个核心主题:多重驱动力下训练启动的决策形成;身心的双重适应与转化;训练推进的多重障碍;康复训练带来的积极改变;多主体协同支持需求。结论 青少年特发性脊柱侧弯患者的康复训练体验涵盖决策启动、身心适应、现实困境、积极改变与多元需求等多种特征,建议从患者、家庭、医疗、学校、社会等多层面进行协同干预,以提升训练依从性与康复效果。

关键词: 青少年, 特发性脊柱侧弯, 康复训练, 质性研究, 护理

Abstract:

Objective To gain an in-depth understanding of the rehabilitation training experience of patients with adolescent idiopathic scoliosis,and to provide a basis for optimizing rehabilitation programs and improving compliance. Methods Using purposive sampling,semi-structured interviews were conducted with 12 patients with adolescent idiopathic scoliosis who attended a tertiary hospital in Tai’an from July to September 2025. The interview data were organized and analyzed using Colaizzi’s 7-step analysis method. Results A total of 5 core themes were extracted:decision-making for initiating training driven by multiple factors;dual physical and psychological adaptation and transformation;multiple obstacles to training progression;positive changes brought by rehabilitation training;demands for multi-stakeholder collaborative support. Conclusion The rehabilitation training experience of adolescents with idiopathic scoliosis encompasses multi-dimensional characteristics including decision-making initiation,physical and psychological adaptation,practical dilemmas,positive changes and diverse needs. Multi-level collaborative interventions involving patients,families,medical institutions,schools and society are required to enhance training adherence and rehabilitation benefits

Key words: Adolescents, Idiopathic Scoliosis, Rehabilitation Training, Qualitative Study, Nursing Care