对外周动脉疾病 (PAD) 患者的术后运动康复行为进行定性研究
Yan Fu1, Yanjie Wang1, Hongji Pu2
1Department of Nursing, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
SAGE open nursing
|February 16, 2026
概括
周围动脉疾病 (PAD) 患者面临炼康复的障碍. 个性化的支持和数字工具可以改善坚持和更好的恢复的结果.
科学领域:
- 心血管医学 心血管医学
- 康复科学 康复科学 康复科学
- 患者报告的结果
背景情况:
- 周围动脉疾病 (PAD) 由于动脉样硬化和四肢缺血,显著影响生活质量.
- 术后运动康复对PAD患者至关重要,但坚持仍然很低,超过60%的学率.
- 现有的研究往往忽视了患者在康复过程中遇到的主观经验和障碍.
研究的目的:
- 探索PAD患者的术后运动康复行为.
- 确定影响康复坚持和结果的关键因素.
- 为制定有针对性的干预措施提供信息,以提高康复和生活质量.
主要方法:
- 一项定性研究涉及18名PAD患者,他们接受了至少两个月的运动康复治疗.
- 进行了半结构面试,以收集深入的患者体验.
- 数据分析使用了NVivo 12,采用同行汇报和审计轨道来确定可信度.
主要成果:
- 患者报告说,随着年龄和遵从性的影响,步行有了各种改善,他们更喜欢像步行这样的低强度运动.
- 促进者包括医疗指导,感知到的功能益处,社会/家庭支持和数字工具.
- 主要障碍包括生理问题 (疼痛,软弱,) 和心理社会因素 (缺乏支持,孤立,知识有限).
结论:
- 在PAD患者中,运动康复的坚持受到促进者和障碍物的复杂相互作用的影响.
- 包括医疗指导,社会支持和数字工具在内的个性化干预措施对于改善遵守和结果至关重要.
- 解决生理和心理障碍对于以患者为中心的护理至关重要,未来的研究重点是可扩展的,技术驱动的解决方案.
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