在全关节整形手术后,患者对家庭康复运动和一般体力活动的看法:一种定性研究 (PHETHAS-2)
Anne Grøndahl Poulsen1, Janni Dahlgaard Gravesen1, Merete Nørgaard Madsen1
1Research Unit, Elective Surgery Center, Silkeborg Regional Hospital, Silkeborg, 8600, Denmark.
F1000Research
|June 26, 2023
概括
接受全关节整形手术 (THA) 的患者发现在家进行康复练习是无聊的,但回归日常生活的动机激励了他们. 疼痛和缺乏疼痛是障碍,而灵活性则促进了对家庭炼计划的坚持.
科学领域:
- 整形外科 整形外科 整形外科
- 康复医学 康复医学 康复医学
- 患者体验研究 研究研究
背景情况:
- 在全关节整形术 (THA) 后,在家进行康复炼,其结果与监督的门诊计划相似.
- 对于患者的经验,包括促进者和障碍,在THA后的家庭康复方面存在有限的理解.
研究的目的:
- 调查患者对THA后在家进行康复炼和一般体力活动的看法.
- 确定关键的促进者和障碍,影响在THA后对家庭康复计划的坚持.
主要方法:
- 采用半结构面试的定性研究,对22名完成家庭康复的THA后患者进行半结构面试.
- 数据分析采用了一种解释性主题分析方法,由"日常生活行为"概念提供信息.
- 在丹麦进行的研究 (2018年1月 - 2019年5月),并嵌入PHETHAS-1试验中.
主要成果:
- "希望回到众所周知的日常生活"的中心主题出现了,推动了动机.
- 家庭练习被认为是单调的,但恢复日常活动的目标是一个强大的动机.
- 疼痛和没有疼痛的存在构成了障碍:疼痛导致不安全感,而没有疼痛导致运动的无意义感.
结论:
- 回归熟悉的日常生活的愿望和在家进行运动的灵活性 (时间/地点) 促进了THA后的坚持.
- 单调的炼,以及疼痛的存在或不存在,是进行家庭康复的重要障碍.
- 整合到日常生活中的一般体力活动的动机是持续参与的关键发现.
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