摘要
目的探讨肥胖患者减重代谢术后居家康复的体验,为发展减重代谢术后居家护理提供借鉴。方法2019年2-5月应用目的抽样法选取12例某三甲医院减重代谢外科行减重代谢手术的术后来院复查患者为研究对象。采用描述性质性研究方法进行深入访谈并记录,采用内容分析法对资料进行整理分析。结果提炼出4个主题:承受体象变化的困扰;不断面对饮食管理的困惑;渐渐选择放弃康复运动;感受到情绪波动,求医路的辛苦和内心有所期望。结论医护人员应重视减重代谢手术患者术后居家康复的真实感受,对于康复过程中出现的健康相关问题和不同的心理状态应加强院外的专业支持,提供规范的居家护理服务,提高患者的生活质量。
Objective To explore and understand the home rehabilitation experience of obese patients after metabolic bariatric surgery(MBS),and provide a reference for the development of home nursing after MBS.Methods Totally 12 patients who came for reexamination after MBS at the Department of Metabolic Bariatric Surgery in a ClassⅢGrade A hospital were selected by purposive sampling between February and May 2019.Descriptive research methods were used to conduct in-depth interviews over the patients and record the results,and content analysis was employed to organize and analyze the data.Results Four themes were refined:suffering from changes in body image;constantly facing the puzzles of diet management;gradually choosing to give up rehabilitation exercise;and feeling emotional fluctuations,the hardship of seeking medical service and inner expectations.Conclusions Medical staff should pay attention to the true feelings of patients'home rehabilitation post operation,strengthen the professional support outside the hospital for the health-related problems and different mental states during the rehabilitation process,provide standardized home care services,and improve the quality of life of the patients.
作者
王迪
钱湛
王鹏程
张迎春
潘颖丽
Wang Di;Qian Zhan;Wang Pengcheng;Zhang Yingchun;Pan Yingli(Department of Nursing,the Fourth Affiliated Hospital of China Medical University,Shenyang 110032,China;School of Nursing,Zhejiang Chinese Medical University,Hangzhou 310053,China;School of Nursing,Nanjing University of Chinese Medicine,Nanjing 210023,China)
出处
《中华现代护理杂志》
2020年第14期1861-1864,共4页
Chinese Journal of Modern Nursing
基金
中国医科大学院级重点项目(2019HL-16)。
关键词
肥胖
减重代谢手术
居家康复
体验
质性研究
Obesity
Metabolic bariatric surgery
Home rehabilitation
Experience
Qualitative study