帕金森病患者跌倒后活动体验的质性研究

A Qualitative Study on the Activity Experiences of Patients with Parkinson’s Disease After Falls

目的:探索帕金森病患者跌倒后的活动体验。方法:采用目的抽样法,选取武汉市某三甲医院神经内科13例帕金森病患者进行半结构式访谈。采用Colaizzi7步分析法分析资料。结果:帕金森病患者跌倒后的活动体验可归纳为4个主题:活动参与力不从心;对跌倒的认知差异明显;跌倒后的心理变化;积累预防跌倒经验。结论:医护人员一方面应鼓励帕金森病患者积极活动,一方面应帮助患者正确认识跌倒和跌倒风险,从调整活动方式、寻求家人帮助、改善居家环境等方面来预防跌倒。

Objective:To explore the activity experiences of patients with Parkinson’s disease(PD)after falls.Methods:Thirteen PD patients were recruited from the Department of Neurology of a tertiary hospital in Wuhan,China using the purposive sampling method.Semi-structured interviews were then conducted and the data were analyzed using Colaizzi’s 7-step method.Results:The activity experiences of PD patients after falls were categorized into four main themes:insufficient activity participation,significant cognitive difference in falling awareness,psychological changes after falls,and accumulation of fall prevention experience.Conclusion:Healthcare professionals should encourage PD patients to actively engage in activities while assisting them in recognizing falls and fall risks.Fall prevention strategies can involve adjusting activity modes,seeking assistance from family members,and improving the home environment.