上海护理2024，Vol.24Issue(10)：19-24,6.DOI:10.3969/j.issn.1009-8399.2024.10.004
椎管内肿瘤切除术后恐动患者早期躯体活动体验的质性研究
Qualitative Study on Experiences in Early Physical Activities Among Patients with Kinesiophobia After Intraspinal Tumor Resection
摘要
Abstract
Objective To understand the psychological experiences in physical activities among patients with kinetophobia after intraspinal tumor resection,aiming to provide a reference for accelerating postoperative rehabilitation.Methods From June to August 2023,14 patients with postoperative kinetophobia were selected by purposive sampling who underwent intraspinal tumor resection at the neurosurgery department in one of the two Grade Ⅲ-A general hospitals in Shenyang.They received semi-structured interviews.Their interview data were analyzed,summarized and refined using Colaizzi's seven-step method.Results For these patients with kinetophobia after intraspinal tumor resection,the following 4 topics were extracted regarding their experiences in early postoperative physical activities:1)Low participation in physical activities—low exercise self-efficacy and insufficient physical activity;2)affected postoperative activities due to related symptoms—stress response and sensitivity to pains,and affected postoperative activity-related beliefs due to numbness symptoms;3)high postoperative psychological pressure—worries about the impact of early physical activities on prognosis,heavy economic burden,negative psychology,and psychological disorders caused by indwelling catheters;4)lack of professional guidance—incomplete professional guidance information,untimely dynamic assessment,and inconsistent education from healthcare providers).Conclusion Patients who have undergone intraspinal tumor resection are susceptible to kinetophobia due to a variety of physical and mental factors.Healthcare providers should make timely assessments and develop targeted interventions to improve their understanding of physical activities and accelerate postoperative rehabilitation.关键词
椎管内肿瘤/手术/恐动症/躯体活动/访谈/质性研究Key words
Intraspinal tumor/Surgery/Kinetopho-bia/Physical activity/Interview/Qualitative study分类
医药卫生引用本文复制引用
方奎,朱晨,张晶,李光宇,刘琰,余立平..椎管内肿瘤切除术后恐动患者早期躯体活动体验的质性研究[J].上海护理,2024,24(10):19-24,6.基金项目
国家自然青年科学基金项目(82103450). （82103450）
