在等待肺部手术的高风险患者遵守家庭肺部康复计划的影响因素:混合方法研究研究
Xiaoyi Yang1,2, Wenfeng Tang3, Lian Xu2
1Department of Cardiothoracic Surgery, First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
BMJ open
|January 14, 2025
概括
在高风险肺部手术患者中,对手术前家庭肺部康复 (HPR) 的坚持是适度的. 诸如社会支持和运动便利等因素影响了参与,这表明需要个性化HPR协议.
科学领域:
- 肺部医学 肺部医学
- 康复科学 康复科学 康复科学
- 手术患者护理手术患者护理
背景情况:
- 手术前的家庭肺部康复 (HPR) 已因其在接受肺部手术的患者中降低术后并发症的潜力而得到认可.
- 优化对HPR程序的遵守对于最大限度地提高患者利益和改善外科手术结果至关重要.
研究的目的:
- 评估计划进行肺部手术的高风险患者在手术前HPR计划的坚持率.
- 确定影响遵守此手术前康复计划的个人和环境因素.
主要方法:
- 采用混合方法方法,将定量问卷调查与定性访谈相结合.
- 186名等待肺部手术的高风险患者参加了定量阶段,其中13人被选中进行深入的定性访谈.
主要成果:
- 定量调查表明,在手术前的HPR计划中,适度的坚持率为52.3%.
- 诸如婚姻状况,地理位置,运动习惯,吸烟史和肺功能等因素显著影响了坚持 (p<0.05).
- 定性发现揭示了障碍,包括健康状况不佳,缺乏支持,天气和运动强度,而感知到的好处和灵活性鼓励了坚持.
结论:
- 高风险的肺部手术患者对手术前的HPR表现出适度的坚持.
- 建议根据个体患者的需要和情况制定个性化的HPR协议,以提高坚持并优化康复结果.
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