了解急性心肌梗塞患者心脏康复中的适应性任务:一种定性研究
Xiyi Wang1, Dandan Chen2, Ping Zou3
1School of Nursing, Shanghai Jiao Tong University, Shanghai, China.
Annals of medicine
|February 2, 2024
概括
患者通过将服务整合到他们的生活中来适应心脏康复 (CR),由责任和信任驱动. 根据患者的需求和期望定制CR计划对于成功的结果至关重要.
科学领域:
- 心脏病学 心脏病学
- 健康心理学 心理健康心理学
- 康复医学 康复医学 康复医学
背景情况:
- 心脏康复 (CR) 改善了心脏结果,但患者的适应和感知知之甚少.
- 替代CR交付模式显示出增加采用率的希望,但需要进一步调查.
研究的目的:
- 在急性心肌梗塞 (AMI) 后,探索心脏康复 (CR) 计划中的患者体验.
- 描述患者在AMI后的CR期间经历的适应过程.
主要方法:
- 在中国进行的定性研究 (2021年7月至2022年9月) 跨越了医院,中心和家庭CR阶段.
- 针对40名急性心肌梗塞 (AMI) 患者进行深入的半结构面试.
- 以适应慢性疾病和正常化过程理论为指导的分析,遵守COREQ指南.
主要成果:
- 在AMI患者的CR正常化方面出现了四个主题.
- 主题包括:推动服务体验的角色责任,基于信任的协作,个性化计划集成以及影响决策的结果预期.
结论:
- 合作,共同设计的CR干预措施对于使康复正常化并将其整合到患者的日常生活中至关重要.
- 组织CR服务必须与患者康复需求和预期保持一致,以获得最佳的有效性.
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