A qualitative study on barriers to self-management behaviors in postoperative pituitary adenoma patients
10.3761/j.issn.0254-1769.2025.14.011
- VernacularTitle:垂体瘤术后患者自我管理行为障碍因素的质性研究
- Author:
Donghui WANG
1
;
Huilin FU
1
;
Yuanyuan PAN
1
Author Information
1. 450000 郑州市 郑州大学第一附属医院东院区神经外科二病区
- Publication Type:Journal Article
- Keywords:
Pituitary Adenoma;
Self-Management Behavior;
Barrier Factors;
Qualitative Research;
Nursing Care
- From:
Chinese Journal of Nursing
2025;60(14):1730-1735
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the barriers to postoperative self-management behaviors in patients with pituitary adenoma and provide a theoretical basis for developing nursing intervention strategies.Methods Using a purposive sampling method,16 postoperative pituitary adenoma patients admitted to a tertiary hospital in Zhengzhou from July 2024 to January 2025 were selected for semi-structured interviews.The interview data were analyzed and refined through Colaizzi's phenomenological analysis method.Results A total of 4 themes and 12 subthemes were extracted,including postoperative physiological dysfunction(sensory dysfunction,difficulty in managing diabetes insipidus,fatigue syndrome),psychosocial adaptation barriers(self-image distress,fear of disease recurrence,restricted information delivery),challenges in maintaining health behaviors(environment-behavior conflicts,insufficient adherence to medication and activity guidelines,inadequate complication management),deficiencies in support systems(non-specific postoperative guidance,poor communication channels,insufficient coordination of medical resources).Conclusion Postoperative self-management behaviors in pituitary adenoma patients are influenced by multidimensional factors,necessitating comprehensive intervention strategies addressing physiological,psychological,behavioral,and systemic support levels.
