《中国康复理论与实践》 ›› 2019, Vol. 25 ›› Issue (4): 487-492.doi: 10.3969/j.issn.1006-9771.2019.04.022

• 社区康复 • 上一篇    下一篇

以同伴教育为核心的社区肺康复实施策略的质性研究

陈雅琪1, 蒋玉宇1, 周春香2, 许光清3, 蒋为4   

  1. 1.江南大学无锡医学院,江苏无锡市 214122
    2.江南大学附属医院呼吸科,江苏无锡市 214122
    3.无锡市惠山区康复医院,江苏无锡市 214181
    4.江苏省荣军医院,江苏无锡市214035
  • 收稿日期:2018-09-18 修回日期:2018-10-16 出版日期:2019-04-20 发布日期:2019-04-24
  • 通讯作者: 蒋玉宇,E-mail: doctoryuyu@126.com
  • 作者简介:陈雅琪(1994-),女,汉族,天津市人,主要研究方向:慢性病管理和肺康复。通讯作者:蒋玉宇,女,副教授,主要研究方向:慢性病管理和肺康复。
  • 基金资助:
    1.基金项目:无锡市卫生和计划生育委员会基金项目(No. MS201622);2.无锡市科学技术局医疗与公众健康技术创新应用项目(No. wx0302B010507180074PB)

Implementation Strategy of Community Lung Rehabilitation Centered on Peer Education: a Qualitative Study

CHEN Ya-qi1, JIANG Yu-yu1, ZHOU Chun-xiang2, XU Guang-qing3, JIANG Wei4   

  1. 1.Wuxi Medical School, Jiangnan Universtiy, Wuxi, Jiangsu 214122, China
    2.Affiliated Hospital of Jiangnan University, Wuxi, Jiangsu 214122, China
    3.Huishan District Rehabilitation Hospital of Wuxi, Wuxi, Jiangsu 214181, China
    4.Rongjun Rehabilitation Hospital of Wuxi, Wuxi, Jiangsu 214035, China
  • Received:2018-09-18 Revised:2018-10-16 Published:2019-04-20 Online:2019-04-24
  • Contact: JIANG Yu-yu, E-mail: doctoryuyu@126.com
  • Supported by:
    Wuxi Health and Family Planning Commission Project (No. MS201622) and Wuxi Science and Technology Office Project (No. wx0302B010507180074PB)

摘要: 目的 探究慢性阻塞性肺疾病(COPD)患者实施以同伴教育为核心的社区康复的建议及关键点。 方法 2016年6月至2017年6月,采用现象学研究方法,选取医生19例、护士15例和COPD患者27例进行半结构式访谈,应用Colaizzi的7步分析法进行资料分析。 结果 提炼出的要点包括:同伴教育组长的设立与定位、医院-社区-家庭的联动模式、集体与个体相结合的干预方式和效果及监测四个主题。 结论 目前将同伴教育应用于COPD患者的康复中尚缺少统一的标准和教材,制定以同伴教育为核心的COPD社区康复实施策略,为COPD患者的康复治疗提供进一步参考。

关键词: 慢性阻塞性肺疾病, 同伴教育, 社区康复, 质性研究

Abstract: Objective To explore the suggestion and key points of implementing community rehabilitation centered on peer education for patients with chronic obstructive pulmonary disease (COPD). Methods From June, 2016 to June, 2017, 19 doctors, 15 nurses and 27 patients with COPD were selected for semi-structured interviews with the phenomenological research method, and the data were analyzed using the 7-step analysis method of Colaizzi. Results The points were as follows: establishment and orientation of group leader education, hospital-community-family interaction mode, collective and individual intervention mode and effect and interaction monitoring. Conclusion There is still lack of unified standards and teaching materials for the application of peer education in the rehabilitation of COPD patients. COPD community rehabilitation implementation strategies with peer education as the core are formulated to provide further reference for the rehabilitation of COPD patients.

Key words: chronic obstructive pulmonary disease, peer education, community-based rehabilitation, qualitative study

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