Abstract:

Objective To explore the barriers to postoperative self-management behaviors in patients with pituitary adenoma and provide a theoretical basis for developing nursing intervention strategies. Methods Using a purposive sampling method，16 postoperative pituitary adenoma patients admitted to a tertiary hospital in Zhengzhou from July 2024 to January 2025 were selected for semi-structured interviews. The interview data were analyzed and refined through Colaizzi’s phenomenological analysis method. Results A total of 4 themes and 12 subthemes were extracted，including postoperative physiological dysfunction（sensory dysfunction，difficulty in managing diabetes insipidus，fatigue syndrome），psychosocial adaptation barriers（self-image distress，fear of disease recurrence，restricted information delivery），challenges in maintaining health behaviors（environment-behavior conflicts，insufficient adherence to medication and activity guidelines，inadequate complication management），deficiencies in support systems（non-specific postoperative guidance，poor communication channels，insufficient coordination of medical resources）. Conclusion Postoperative self-management behaviors in pituitary adenoma patients are influenced by multidimensional factors，necessitating comprehensive intervention strategies addressing physiological，psychological，behavioral，and systemic support levels.

Key words: Pituitary Adenoma, Self-Management Behavior, Barrier Factors, Qualitative Research, Nursing Care

摘要：

目的 探讨垂体瘤患者术后自我管理行为的障碍因素，为制订针对性护理干预策略提供理论依据。 方法 采用目的抽样法，选取2024年7月—2025年1月郑州市某三级甲等医院收治的16例垂体瘤术后患者进行半结构式访谈，通过Colaizzi 7步分析法提炼访谈资料。 结果 共提炼出4个主题、12个亚主题：术后生理功能失衡（感官功能障碍、尿崩症管理困难、疲劳综合征困扰）；心理社会适应障碍（自我形象困扰、疾病复发恐惧、信息传递受限）；健康行为维持困难（环境与行为矛盾、用药与活动依从性不足、并发症管理薄弱）；支持系统不完善（术后指导不具体、沟通渠道不顺畅、医疗资源协同不足）。 结论 垂体瘤术后患者自我管理行为受多维度因素影响，需从生理、心理、行为及支持系统层面制订综合干预策略。

关键词: 垂体瘤, 自我管理行为, 障碍因素, 质性研究, 护理