O'Brien J, Finlayson K, Kerr G, Edwards H
MApplSci (Research) PhD Candidate;, Queensland University of Technology 60 Musk Ave Kelvin Grove 4559 Australia.
J Wound Care. 2014 Oct;23(10):496-8, 500-9. doi: 10.12968/jowc.2014.23.10.496.
Exercise has the potential to offer a range of health benefits in addition to improving healing outcomes for people with venous leg ulcers (VLUs). However, despite evidence-based recommendations, most of these individuals do not engage in regular exercise. The aim of this study was to gain an understanding of the perspectives of adults with VLUs, in relation to exercise.
This was a qualitative design using semi-structured interviews and discussions. Ten participants with venous leg ulceration volunteered to participate. Recruitment was through a specialist wound clinic. Verbatim data were collected by an experienced moderator using a semi-structured guide. Data saturation was reached after three group discussions and two interviews. A random selection of transcripts was sent back to the participants for verification. Thematic content analysis was used to determine major themes and categories. Two transcripts were independently analysed, categories and themes independently developed, cross checked and found comparable. Remaining transcripts were analysed using the developed categories and codes.
Regardless of their current exercise routine, participants reported exercising before venous leg ulceration and expressed an interest in either becoming active or maintaining an active lifestyle. Overall, four themes emerged from the findings: i) participant understanding of the relationship between chronic venous insufficiency and exercise patterns; ii) fear of harm impacts upon positive beliefs and attitudes to exercise; iii) perceived factors limit exercise; and iv) structured management facilitates exercise.
The value of exercise in improving outcomes in VLUs lies in its capacity to promote venous return and reduce the risk of secondary conditions in this population. Despite motivation and interest in being exercise active, people with VLUs report many obstacles. Further exploration of mechanisms that assist this patient population and promote understanding about management of barriers, coupled with promotion of enabling factors, is vital for improving their exercise participation.
运动除了能改善下肢静脉溃疡（VLU）患者的愈合效果外，还可能带来一系列健康益处。然而，尽管有循证建议，但这些患者中的大多数并未进行规律运动。本研究的目的是了解成年VLU患者对运动的看法。
这是一项采用半结构化访谈和讨论的定性研究设计。十名下肢静脉溃疡患者自愿参与。通过一家专科伤口诊所进行招募。由一名经验丰富的主持人使用半结构化指南收集逐字记录的数据。经过三次小组讨论和两次访谈后达到数据饱和。随机挑选部分记录稿反馈给参与者进行核实。采用主题内容分析法确定主要主题和类别。对两份记录稿进行独立分析，独立制定类别和主题，交叉核对并发现具有可比性。其余记录稿使用已制定的类别和编码进行分析。
无论当前的运动习惯如何，参与者均表示在出现下肢静脉溃疡之前有运动习惯，并表达了想要活跃起来或保持积极生活方式的意愿。总体而言，研究结果出现了四个主题：i）参与者对慢性静脉功能不全与运动模式之间关系的理解；ii）对受伤的恐惧影响对运动的积极信念和态度；iii）感知到的限制运动的因素；iv）结构化管理促进运动。
运动对改善VLU患者预后的价值在于其促进静脉回流以及降低该人群继发疾病风险的能力。尽管有运动的动机和意愿，但VLU患者报告存在许多障碍。进一步探索帮助该患者群体并促进对障碍管理的理解，同时促进促成因素，对于提高他们的运动参与度至关重要。
