| 方奎,朱晨,张晶,李光宇,刘琰,余立平.椎管内肿瘤术后恐动症患者早期躯体活动体验的质性研究[J].上海护理,2024,24(10): |
| 椎管内肿瘤术后恐动症患者早期躯体活动体验的质性研究 |
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| 投稿时间：2024-01-19 修订日期：2024-09-30 |
| DOI： |
| 中文关键词: 椎管内肿瘤 术后 恐动症 躯体活动 质性研究 |
| 英文关键词:Spinal Cord Neoplasms Postoperation Kinesiophobia Physical Activity Qualitative Research |
| 基金项目:国家自然青年科学(82103450) |
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| 中文摘要: |
| 目的: 了解椎管内肿瘤术后恐动症患者躯体活动的心理体验。 方法: 采用目的抽样法,对14例椎管内肿瘤术后恐动症患者进行半结构式访谈,并采用? 主题分析法对访谈资料进行分析、归纳及提炼主题。结果:椎管内肿瘤术后恐动症患者早期躯体活动的体验可以归纳为4个主题,躯体活动参与度低(对躯体活动的恐惧、躯体活动量存在不足),恐动症产生的原因(疼痛应激反应敏感、麻木症状影响患者术后活动信念),心理压力大(担心早期躯体活动影响预后、经济负担较重、负性心理反应、导管所引起的心理障碍),缺乏专业指导(专业指导信息不全面、动态评估不及时、医护专业指导差异化)。结论: 椎管内肿瘤术后患者因疼痛和麻木症状,早期躯体活动参与度低,心理压力大,缺乏专业的指导,导致产生恐动症,医护人员应该及时评估,制定干预方案,提高患者对躯体活动的认知水平,促进术后康复。 |
| 英文摘要: |
| Objective To investigate the psychological experience of physical activity in patients with kinesiophobia after spinal cord neoplasms surgery. Methods A total of 14 patients with postoperative kinesiophobia of spinal cord neoplasms were selected by purposive sampling and semi-structured interviews were conducted. The theme analysis method was used to analyze,summarize and refine the themes of interview data. Results Totally 4 themes were extracted,including low physical activity participation (fear of physical activity and insufficient physical activity) ,causes of kinesiophobia (sensitive pain stress response and numbness affect patients" postoperative activity beliefs),high psychological pressure (worrying about the prognosis of early physical activity, heavy economic burden, negative psychological reaction, psychological disorder caused by catheter),lack of professional guidance (professional guidance information is not comprehensive, dynamic assessment is not timely, medical professional guidance differentiation) .Conclusion Postoperative patients with spinalcord neoplasms have low participation in early physical activities due to pain and numbness, high psychological pressure and lack of professional guidance. Medical staff should timely assess and formulate intervention plans to improve the cognitive level of patients on physical activities and promote postoperative rehabilitation. |
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