探讨肺移植受者在等候期的运动经验:一项质性研究

IF 7.1 1区 医学 Q1 NURSING
Qianyin Zhu , Peipei Gu , Yandie Wang , Fei Zeng , Meijuan Lan
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引用次数: 0

摘要

肺移植是治疗终末期肺部疾病的重要干预手段。然而,供体肺的短缺往往导致等待时间延长,在此期间,一些患者可能会经历疾病恶化甚至死亡。在等待名单期间进行锻炼已被证明可以改善肺移植候选人的心肺功能和术后结果。然而,现有的研究主要集中在生理指标上,对患者主观体验的探索有限。目的探讨肺移植受者在候诊期的锻炼经验和观点。设计采用描述性定性设计。中国浙江省一家三级医院。参与者:14例肺移植受者(平均53岁,25-74岁;平均等待时间54天,范围23-123)。方法采用目的抽样方法,选取浙江省某三级医院2024年12月至2025年2月的肺移植受者。采用内容分析法对定性数据进行分析。结果出现了四个主要主题。第一个主题,运动体验的双重性,包括累积收益、不良生理反应和对运动风险的焦虑。第二个主题,持续锻炼的驱动力,包括内在动机和外在动机。第三个主题是对专业支持的需求,反映了对个性化运动计划、安全监测和症状指导的期望。最后一个主题是对非正式支持网络的需求,强调家庭在场、同伴互动和可获得的情感和实际支持的练习环境的必要性。结论肺移植候选者在等待期的运动受到多种生理反应、情绪态度和社会影响的影响。这些发现强调了针对个人能力、关注点和支持需求量身定制锻炼干预措施的重要性。将个性化的专业指导与灵活的非正式支持相结合,可以减少感知风险,提高身体活动的参与度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Exploring the exercise experiences of lung transplant recipients during the waiting list period: A qualitative study

Background

Lung transplantation is a crucial intervention for end-stage lung disease. However, the shortage of donor lungs often results in prolonged waiting times, during which some patients may experience disease deterioration or even death. Exercise during the waiting list period has been shown to improve cardiopulmonary function and postoperative outcomes in lung transplant candidates. Nevertheless, existing studies primarily focus on physiological indicators, with limited exploration of patients' subjective experiences.

Objective

To explore the exercise experiences and perspectives of lung transplant recipients during the waiting list period.

Design

A descriptive qualitative design was used.

Setting

A tertiary hospital in Zhejiang Province, China.

Participants

Fourteen lung transplant recipients (mean age 53, range 25–74; mean wait time 54 days, range 23–123) participated in the study.

Methods

A purposive sampling method was used to select lung transplant recipients from a tertiary hospital in Zhejiang Province, China, between December 2024 and February 2025. A content analysis approach was conducted to analyze the qualitative data.

Result

Four main themes emerged. The first theme, the duality of exercise experiences, included cumulative benefits, adverse physiological responses, and anxiety regarding exercise risks. The second theme, drivers of sustained exercise, involved intrinsic motivation and extrinsic incentives. The third theme, needs for professional support, reflected expectations for personalized exercise plans, safety monitoring and symptom guidance. The final theme, needs for informal support networks, underscored the necessity of family presence, peer interaction, and accessible exercise settings for emotional and practical support.

Conclusion

Exercise among lung transplant candidates during the waiting period is shaped by diverse physical responses, emotional attitudes, and social influences. These findings underscore the importance of tailoring exercise interventions to individual capabilities, concerns, and support needs. Combining personalized professional guidance with flexible informal support may reduce perceived risks and improve engagement with physical activity.
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来源期刊
CiteScore
15.00
自引率
2.50%
发文量
181
审稿时长
21 days
期刊介绍: The International Journal of Nursing Studies (IJNS) is a highly respected journal that has been publishing original peer-reviewed articles since 1963. It provides a forum for original research and scholarship about health care delivery, organisation, management, workforce, policy, and research methods relevant to nursing, midwifery, and other health related professions. The journal aims to support evidence informed policy and practice by publishing research, systematic and other scholarly reviews, critical discussion, and commentary of the highest standard. The IJNS is indexed in major databases including PubMed, Medline, Thomson Reuters - Science Citation Index, Scopus, Thomson Reuters - Social Science Citation Index, CINAHL, and the BNI (British Nursing Index).
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