Qualitative study of active management dilemmas in young and middle-aged postoperative patients with lumbar disc herniation
10.3760/cma.j.cn115682-20230807-00397
- VernacularTitle:中青年腰椎间盘突出症术后患者积极管理困境的质性研究
- Author:
Qianqian YAO
1
;
Junjuan ZHANG
;
Ruijuan HAN
;
Na GAO
;
Sinuo CHEN
;
Linlin HOU
;
Suting LIU
Author Information
1. 河南大学护理与健康学院，开封 475000
- Keywords:
Lumbar disc herniation;
Patient activation;
Self-management;
Dilemma;
Young and middle-aged
- From:
Chinese Journal of Modern Nursing
2024;30(13):1738-1744
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand the dilemma of active management in young and middle-aged postoperative patients with lumbar disc herniation, in order to provide reference for the formulation of active intervention program of self-health management meeting the needs of patients.Methods:Using the phenomenological research method, a total of 16 middle-aged and young patients with lumbar disc herniation were selected for semi-structured in-depth interviews, and the themes were analyzed and extracted by Colaizzi 7-step analysis method.Results:Three themes and nine sub-themes were extracted namely, inadequate disease response capacity and response resources (lack of disease symptom management capacity, limited access to disease management information, difficult use of disease management information, difficulty in maintaining positive self-management for a long time (forced to stop behavior change due to stress, lack of motivation to achieve good behavior change, doubts about the effectiveness of self-management) and multi-dimensional negative emotions (contrast between maintaining independence and dependence on others, fear of being misunderstood, fear of relapse) .Conclusions:Medical staff should provide comprehensive health information services for young and middle-aged postoperative patients with lumbar disc herniation, improve the out-of-hospital follow-up mechanism with the help of information technology, further improve family and social support strategies, reduce the difficulties faced in the process of active management and achieve long-term active disease management.
