目的 基于旅程地图识别慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者肺康复多维需求,为优化患者全周期肺康复管理提供参考。方法 运用描述性质性研究方法,以目的抽样法于2025年1-6月选取在某院治疗的15例COPD患者进行半结构化访谈,采用Colaizzi 7步分析法进行资料分析并绘制患者旅程地图。结果 按COPD疾病3个阶段(急性发作期、急性发作缓解期、稳定期),从任务、情绪和痛点3个维度将COPD患者的全周期肺康复管理需求细分归纳为19个主题,并形成患者旅程地图。结论 COPD患者全周期肺康复管理旅程漫长且复杂,多阶段、多动态且多维交织。根据绘制的旅程地图,瞄准痛点及机会点,提出优化策略,可为患者提供精准化优质护理服务。

Objective To identify the multidimensional needs of pulmonary rehabilitation in patients with chronic obstructive pulmonary disease (COPD) based on a patient journey map,so as to provide a reference for optimizing full-cycle pulmonary rehabilitation management.Methods A descriptive qualitative study was conducted.From January to June 2025,15 COPD patients were selected by purposive sampling for semi-structured interviews.Colaizzi's 7-step analysis method was used to analyze the data and draw the patient journey map.Results According to the three stages of COPD (acute exacerbation stage,acute exacerbation remission stage,and stable stage),the full-cycle pulmonary rehabilitation management needs of COPD patients were subdivided into 19 themes from three dimensions: tasks,emotions,and pain points,and hence a patient journey map was formed.Conclusions The full-cycle pulmonary rehabilitation management journey of COPD patients is long and complex,with multi-stage,dynamic and multidimensional interweaving.Based on the drawn journey map,optimization strategies are proposed targeting pain points and opportunity points to provide precise and high-quality nursing services for patients.

R473.56

盐城市卫生健康委员会医学科研项目(YK2024031)