老年全髋关节置换术患者早期运动康复体验和需求的质性研究

Qualitative study on early exercise rehabilitation experience and needs of elderly patients with total hip arthroplasty

目的了解老年全髋关节置换术(THA)患者早期运动康复的真实体验和需求,为开展满足患者需求的干预研究提供前期依据。方法采用目的抽样法,选取2021年6—9月海军军医大学第一附属医院的12例老年THA术后患者为研究对象进行半结构式深度访谈,采用Colaizzi 7步法分析、归纳、提炼资料。结果老年THA患者早期运动康复体验和需求可归纳为:术后运动是一段艰难的旅程;专业支持的需求;外部支持的需求;内在驱动的需求4个主题和14个亚主题。结论老年THA患者早期运动康复存在多方面的问题和需求,需加强医、护、患三方面的沟通,了解患者的真实感受,给予个体化护理和康复指导,从而改善患者的治疗体验,提升其满意度。

Objective To understand the real experience and needs of early exercise rehabilitation in elderly patients with total hip arthroplasty(THA),so as to provide a preliminary basis for intervention research to meet the needs of patients.Methods Using the purposive sampling method,a total of 12 elderly patients with THA from the First Affiliated Hospital of Naval Medical University from June to September 2021 were selected as the research objects for semi-structured in-depth interviews.Colaizzi 7-step method was used to analyze,summarize and extract the data.Results The early exercise rehabilitation experience and needs of elderly THA patients could be summarized into four themes such as postoperative exercise being a difficult journey,the need for professional support,the need for external support and internally driven needs and 14 sub themes.Conclusions There are various problems and needs for early exercise rehabilitation in elderly patients undergoing THA.It is necessary to strengthen communication among doctors,nurses and patients,understand their true feelings and provide personalized care and rehabilitation guidance to improve their treatment experience and enhance their satisfaction.