骨质疏松椎体压缩性骨折患者术后居家康复体验的质性研究

doi:10.3761/j.issn.0254-1769.2022.10.002

摘要/Abstract

摘要：

目的探讨骨质疏松椎体压缩性骨折患者术后的居家康复体验。方法采用描述性现象学研究法,于2020年7月—9月对符合标准的骨质疏松椎体压缩性骨折术后门诊患者、主要照护者、临床护理人员进行面对面半结构化访谈,采用Colaizzi现象学分析法分析原始资料。结果提炼出包括躯体障碍、心理感知、健康素养、活动需求、康复外部环境5个核心主题及13个亚主题。结论骨质疏松椎体压缩性骨折患者术后的居家康复体验较丰富,关注患者和主要照护者身体和心理障碍,提升患者的健康素养和满足健康需求,并积极借助外部条件提升居家康复质量,可为居家康复方案的制订提供参考。

关键词: 骨质疏松, 椎体压缩性骨折, 居家延续护理, 康复体验, 质性研究

Abstract:

Objective The home rehabilitation experience for postoperative osteoporotic vertebral compression fractures（OVCF） was analyzed. Methods A descriptive phenomenological study method was used to conduct face-to-face semi-structured interviews with outpatient post-operative patients,primary caregivers,and clinical caregivers who met the admission criteria from July to September 2020. Phenomenological Analysis of Colaizzi’s method was used to analyze the preliminary data. Results The patient’s home rehabilitation experience of continuity care is summarized as 5 core themes,including somatic disorders,psychological perception,health literacy,activity demands,and external environment of rehabilitation. Conclusion The postoperative OVCF home rehabilitation experience is rich,focusing on physical and psychological barriers,health literacy enhancement,and satisfaction of health needs for patients and primary caregivers,and actively leveraging external conditions to enhance the quality of home rehabilitation,which can inform the development of home rehabilitation programs.

Key words: Osteoporosis, Vertebral Compression Fracture, Home Continuity Care, Rehabilitation Experience, Qualitative Study

罗屹惟, 程悦, 罗如珍, 刘彦慧. 骨质疏松椎体压缩性骨折患者术后居家康复体验的质性研究[J]. 中华护理杂志, 2022, 57(10): 1165-1171.

LUO Yiwei, CHENG Yue, LUO Ruzhen, LIU Yanhui. Experiences of home-based rehabilitation continuity care after osteoporotic vertebral compression fracture： a qualitative study[J]. Chinese Journal of Nursing, 2022, 57(10): 1165-1171.

图/表 3

表1 骨质疏松椎体压缩性骨折术后患者的一般资料（n=13）

Table 1 Socio-demographic data of post-operative OVCF patients（n=13）

表2 护理人员的一般资料（n=8）

Table 2 Socio-demographic data of clinical caregivers（n=8）

表3 主要照护者的一般资料（n=7）

Table 3 Socio-demographic data on primary caregivers（n=7）

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