ISSN 2097-6046（网络）
ISSN 2096-7446（印刷）
CN 10-1655/R
主管：中国科学技术协会
主办：中华护理学会
中华急危重症护理杂志

中华急危重症护理杂志 ›› 2026, Vol. 7 ›› Issue (6): 667-671.doi: 10.3761/j.issn.2096-7446.2026.06.004

• 心脏手术康复护理专题 • 上一篇    下一篇

左心室辅助装置植入患者首次离床活动真实体验的现象学研究

王仕芳1(), 冯萍1, 柏健2, 李锡涵3, 张浩1,*()   

  1. 1 南京医科大学附属南京医院/南京市第一医院重症医学科 南京市 210006
    2 南京医科大学附属老年医院心内科 南京市 210001
    3 南京医科大学附属第三临床医学院 南京市 210000
  • 收稿日期:2025-08-29 出版日期:2026-06-10 发布日期:2026-06-02
  • 通讯作者: 张浩 E-mail:759385520@qq.com;5285657@qq.com
  • 作者简介:王仕芳：女，本科，主管护师，E-mail：759385520@qq.com
    第一联系人：

    王仕芳：研究设计、资料收集、论文撰写；冯萍：资料收集、质量控制；柏健：方法指导，数据整理；李锡涵：数据整理、统计学分析；张浩：研究指导、论文修改、经费支持

A phenomenological study on the real experience of patients with implanted left ventricular assist device during their first ambulation out of bed

WANG Shifang1(), FENG Ping1, BAI Jian2, LI Xihan3, ZHANG Hao1,*()   

  1. 1 Department of Critical Care Medicine， Nanjing First Hospital，Nanjing Medical University， Nanjing 210006
    2 Department of Cardiology， Geriatric Hospital of Nanjing Medical University
    3 Third Clinical Medical College， Nanjing Medical University， Nanjing 210000， China
  • Received:2025-08-29 Online:2026-06-10 Published:2026-06-02
  • Contact: ZHANG Hao E-mail:759385520@qq.com;5285657@qq.com

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摘要：

目的 探讨左心室辅助装置植入患者首次离床活动的真实感知与体验，为左心室辅助装置植入患者早期康复运动的干预提供依据。 方法 本研究为描述性质性研究，采用目的抽样法，选取2024年6月—2025年3月南京市某三级甲等医院左心室辅助装置植入患者18例进行半结构式深度访谈。采用内容分析法整理访谈资料。 结果 共提炼4个主题，8个亚主题：生理适应体验（躯体不适感、运动功能失调），设备适应挑战（设备束缚感、报警焦虑），心理适应历程（死亡恐惧、希望体验），支持系统需求（医护指导需求、器械辅助需求）。结论 左心室辅助装置植入患者首次离床活动存在诸多困难与复杂的情感体验，医护人员应主动关注患者心理变化，提供鼓励及健康宣教，制订患者离床活动的标准化流程，确保患者活动期间安全，促进左心室辅助装置植入患者术后早期康复。

关键词: 左心辅助装置, 首次离床活动, 体验, 护理

Abstract:

Objective To explore the real perception and experience of patients with implanted left ventricular assist device during their first ambulation out of bed，and to provide evidence for interventions in early postoperative rehabilitation exercise for those patients with implanted left ventricular assist device. Methods A descriptive qualitative study was adopted. Through purposive sampling，18 patients with implanted left ventricular assist device at a tertiary Grade A hospital in Nanjing from June 2024 to March 2025 were selected for semi-structured in-depth interviews. Content analysis was applied to organize and analyze the interview data. Results Four themes with eight sub-themes were extracted：physiological adaptation experience（physical discomfort，motor dysfunction），device adaptation challenges（sense of device constraint，alarm-related anxiety），psychological adaptation process（fear of death，experience of hope），and support system needs（need for medical staff guidance，need for assistive devices）. Conclusion Patients with implanted left ventricular assist device encounter multiple difficulties and complex emotional experiences during their first ambulation out of bed. Medical staff should actively monitor patients’ psychological changes，offer encouragement and health education，develop standardized procedures for patients’ ambulation out of bed，ensure patients’ safety during activities，and facilitate the early postoperative rehabilitation of patients with implanted left ventricular assist device.

Key words: Left Ventricular Assist Device, First Ambulation out of Bed, Experience, Nursing Care