胸腔镜下肺癌根治术患者实施肺康复干预阻碍因素的质性研究

A Qualitative Study of Hindrance Factors for Pulmonary Rehabilitation Intervention in Patients Undergoing Thoracoscopic Radical Resection of Lung Cancer

摘要: 目的：从患者的视角探讨将肺康复纳入常规肺癌临床治疗的阻碍因素，为制定全面的有针对性的临床实践干预提供参考依据。方法：采用现象学研究的方法，对15名胸腔镜下肺癌根治术患者进行半结构式深入访谈，并应用Colaizzi内容分析法分析资料。结果：胸腔镜下肺癌根治术患者实施肺康复干预阻碍的因素可归纳为5个主题：知识、信念和医护人员提供信息的重要性；症状负担；营养失调；体重下降；社会支持和环境。结论：肺癌根治术患者实施肺康复的阻碍因素是多方面的，医护人员应深入了解肺癌患者的身心感受，增加肺癌患者肺康复知识教育，提供常见症状的管理措施，加大社会支持力度和改善患者运动环境，为肺癌患者提供一个精细的、以肺癌患者为中心的针对性的肺康复计划，以促进肺康复的实施，促进患者的快速康复。

Abstract: Objective: From the perspective of patients, the obstacles of including lung rehabilitation in routine clinical treatment of lung cancer were discussed, so as to provide a reference for the development of comprehensive and targeted clinical practice intervention. Methods: In this study, 15 patients underwent radical thoracoscopic lung cancer were interviewed by phenomenological method, and the data were analyzed by Colaizzi content analysis method. Results: The factors that hinder the implementation of pulmonary rehabilitation intervention in patients undergoing thoracoscopic radical resection of lung cancer can be summarized into five themes: knowledge, belief, and the importance of information provided by medical staff; Symptom burden; Malnutrition; Weight loss; Social support and environment. Conclusion: Implementation of pulmonary rehabilitation in patients with lung cancer radical inhibitors are various, medical staff should have a thorough understanding of lung cancer patients feeling of body and mind, increase in lung cancer patients with pulmonary rehabilitation knowledge education, provide a common symptom of management measures, strengthen social support and improve patient movement environment, provides patients with lung cancer with a delicate, centered on lung cancer patients of pulmonary rehabilitation program, in order to promote the implementation of the pulmonary rehabilitation, promote the rapid recovery of the patients.