作者：秦静雯，熊娟娟，潘鑫，龚开政

单位：

1.225000江苏省扬州市，扬州大学附属医院心内科 2.225009江苏省扬州市，扬州大学护理学院 通信作者：龚开政，E-mail：yungkzh@163.com

单位（英文）：

1.Department of Cardiology, Affiliated Hospital of Yangzhou University, Yangzhou 225000, China 2.School of Nursing, Yangzhou University, Yangzhou 225009, China Corresponding author: GONG Kaizheng, E-mail: yungkzh@163.com

关键词：

心力衰竭; 老年人; 运动; 影响因素分析; 定性研究;

关键词（英文）：

Heart failure; Aged; Exercise; Root cause analysis; Qualitative research

中图分类号：

DOI：

10.12114/j.issn.1008-5971.2022.00.011

基金项目：

国家自然科学基金资助项目（81970225）；扬州市科技计划项目（YZ2020087）

摘要：

目的 了解老年慢性心力衰竭（CHF）患者参与运动锻炼的影响因素。方法 采用目的抽样法，依据患者学历、年龄、性别、是否规律锻炼等信息，按最大差异策略选取2020年11月至2021年1月在扬州大学附属医院心内科住院治疗的老年CHF患者为研究对象。当受访者所述信息重复出现，资料分析无新主题出现时，认为资料达到饱和，最终共纳入12例老年CHF患者。在患者病情稳定时对其进行半结构式访谈，采用Colaizzi七步法对资料进行分析、编码、主题提炼。结果 共提炼出2个主题，分别为老年CHF患者运动锻炼的促进因素和阻碍因素，其中前者包括4个二级主题：家庭成员的鼓励、同伴的交流与陪伴、家庭责任感强、了解运动锻炼的益处；后者包括5个二级主题：缺乏医护人员的专业指导、对运动锻炼有恐惧感、疾病不良体验、缺乏运动锻炼相关知识、合并其他系统疾病。结论家庭成员的鼓励、同伴的交流与陪伴、家庭责任感强、了解运动锻炼的益处可促进老年CHF患者参与运动锻炼，而缺乏医护人员的专业指导、对运动锻炼有恐惧感、疾病不良体验、缺乏运动锻炼相关知识、合并其他系统疾病均会阻碍老年CHF患者参与运动锻炼。

英文摘要：

【Abstract】 Objective To understand the influencing factors of exercise participation in elderly patients with chronicheart failure (CHF) . Methods Elderly CHF patients who were hospitalized in the Department of Cardiology, Affiliated Hospitalof Yangzhou University from November 2020 to January 2021 were selected as subjects by purpose sampling method and themaximum variation strategy according to the patients' information of education background, age, gender and regular exercise.Data was considered to be saturated when the information described by the interviewees was repeated and no new topic appearedin the data analysis. Finally, a total of 12 patients were included. Semi-structured interviews were conducted when the patient'scondition was stable, and Colaizzi seven-step method was used to analyze, code and refine the data. Results Two majorcategories of promoting factors and hindering factors of exercise participation in elderly CHF patients were extracted. Among them,the former one includes four sub-categories: encouragement from family members, communication and company of peers, strongsense of family responsibility, perception of benefits of exercise. The latter one includes five sub-categories: lack of professionalguidance from medical staff, fear of movement, poor experience of disease, lack of exercise related knowledge, and combination ofother systemic diseases. Conclusion Encouragement from family members, communication and company of peers, strong senseof family responsibility, perception of benefits of exercise can promote elderly CHF patients to participate in exercise, and the lackof professional guidance from medical staff, fear of movement, poor experience of disease, lack of exercise related knowledge andcombination of other chronic diseases can prevent elderly CHF patients to participate in exercise.

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