慢性阻塞性肺疾病患者肺康复体验的质性研究

目的 探讨COPD患者肺康复的影响因素及肺康复障碍的应对策略。方法 采用目的抽样和理论抽样的方法,于2016年6月—2017年6月对符合纳入、排除标准的9例COPD患者、8名医生和7名护士进行半结构式访谈,应用扎根理论三级编码的方法进行资料分析。结果 COPD患者肺康复的影响因素包括个体因素、家庭因素和肺康复环境;其应对策略包括激励、安全保障、肺康复合作和肺康复理念的推广等。结论 应对COPD患者肺康复障碍是慢性病管理的挑战之一,肺康复影响因素的识别和肺康复障碍应对策略的提出可为COPD患者肺康复计划的制订和实施提供参考依据。

A qualitative study on coping strategies of pulmonary rehabilitation barriers in patients with chronic obstructive pulmonary disease

Objective To explore the influencing factors and coping strategies of pulmonary rehabilitation barriers in patients with chronic obstructive pulmonary disease（COPD）. Methods Objective sampling and theoretical sampling were used to select 9 patients with COPD,8 doctors and 7 nurses for semi-structured interviews from June,2016 to June,2017,and the data was analyzed by three-level coding of the grounded theory. Results The influencing factors of pulmonary rehabilitation barriers in patients with COPD included individual factors,family factors and pulmonary rehabilitation environment. The coping strategies of pulmonary rehabilitation barriers in patients with COPD included incentives,safety assurance,cooperation in pulmonary rehabilitation and promotion of pulmonary rehabilitation concept. Conclusion Coping with pulmonary rehabilitation barriers is one of the inevitable challenges to promote chronic disease management. Further identification of influencing factors of pulmonary rehabilitation and the proposal of coping strategies for pulmonary rehabilitation obstacles will provide references for the formulation and implementation of pulmonary rehabilitation plans for patients with COPD.