摘要
目的了解老年冠状动脉粥样硬化性心脏病(冠心病)合并2型糖尿病患者居家运动康复的现况,为制定此类患者的居家运动康复方案提供参考依据。方法采用质性研究中的现象学研究方法,对12例老年冠心病合并2型糖尿病患者进行半结构式访谈,采用Colaizzi 7步分析法对访谈资料进行分析。结果共提炼出4个主题,即患者居家运动康复认知不足、负性心理反应、缺乏家庭支持、缺乏专业的个体化运动指导。结论老年冠心病合并2型糖尿病患者的居家运动康复受到多重阻碍,开展现况不理想,医护人员应加强对患者的居家运动康复指导,帮助患者制定可行的个体化居家运动康复方案,提高患者居家运动康复的积极性。
Objective TO explore the current situation of home-based exercise rehabilitation program for elderly patients with coronary heart disease and type 2 diabetes mellitus,and to provide the basis for the establishment of home-based exercise program.Methods A Semi-structured interviews of the phenomenological method of qualitative research were conducted with 12 elderly patients with coronary heart disease and type 2 diabetes mellitus,then Colaizzi's descriptive phenomenological method was used to refine the theme of the data.Results Four themes were extracted as described as follows:short of willingness to participate exercise training,inadequate knowledge of home-based exercise,lack of family support,deficient professional technical support.Conclusion There have been many barriers hindering the implementation of home-based exercise of elderly patients with coronary heart disease and type 2 diabetes mellitus.Health care workers should strengthen home-based guidance and to help patients make an reasonable individualized exercise plan,in order to improve the patients’enthusiasm for home-based exercise rehabilitation.
作者
金献萍
沈茂
刘志娟
姜晓冬
张艳萍
JIN Xianping;SHEN Mao;LIU Zhijuan;JIANG Xiaodong;ZHANG Yanping(Department of Cardiovascular Medicine,The People's Hospital of Guangxi Zhuang Autonomous Region,Nanning,Guangxi,530021;Department of Endocrinology and Metabolism,The People's Hospital of Guangxi Zhuang Autonomous Region,Nanning,Guangxi,530021)
出处
《中西医结合护理（中英文）》
2020年第8期64-67,共4页
Journal of Clinical Nursing in Practice
基金
广西医疗卫生适宜技术开发与推广应用项目(S2018089)。
关键词
冠状动脉粥样硬化性心脏病
2型糖尿病
老年
居家运动
质性研究
coronary heart disease
type 2 diabetes mellitus
elderly patients
home-based exercise
qualitative research
