下肢动脉硬化闭塞症患者康复运动行为动机的质性研究

Qualitative study on motivation of rehabilitation exercise behavior in patients with lower extremity arteriosclerosis obliterans

目的 了解下肢动脉硬化闭塞症(LEASO)患者康复运动行为动机,以期为患者良好康复运动行为管理提供依据和建议。方法 采用目的抽样法,选取28例LEASO患者进行半结构式深度访谈。采用Colaizzi 7步分析法对文本数据进行汇总、编码、提炼、求证。结果 影响LEASO患者康复运动行为动机的4个主题:康复运动相关知识的认知模糊、不良康复运动行为风险的感知、康复运动行为线索刺激和康复运动管理的自我效能。结论 护理人员可通过提高患者对疾病的认知,增加其对康复运动益处、疾病严重性的感知,改善疾病管理的不良康复行为,激发患者康复运动行为线索和疾病管理的自我效能,促进患者由被动接受到主动参与疾病的恢复与管理,提高患者康复运动的行为依从性。

Objective To understand the motivation of rehabilitation exercise behavior in patients with lower extremity arteriosclerosis obliterans(LEASO),so as to provide basis and suggestions for the management of patients'good rehabilitation exercise behavior.Methods The purpose sampling method was used to select 28 LEASO patients for semi-structured in-depth interviews.The Colaizzi 7-step analysis method was used to summarize,encode,refine and verify the text data.Results Four themes that affect the motivation of rehabilitation exercise behavior in LEASO patients:cognitive ambiguity of rehabilitation exercise related knowledge,perception of risk of poor rehabilitation exercise behavior,cue stimulation of rehabilitation exercise behavior and self-efficacy of rehabilitation exercise management.Conclusion Nursing staff can improve patients'awareness of the disease,increase their perception of the benefits of rehabilitation exercise and the severity of the disease,improve the poor rehabilitation behavior of disease management,stimulate patients'rehabilitation exercise behavior clues and self-efficacy of disease management,promote patients from passive acceptance to active participation in disease recovery and management,and improve the behavioral compliance of patients'rehabilitation exercise.