Departments of Physical Therapy (Mss Holz, Bennett, Freethy, Rossi, and Tanzos, Drs Brooks, Goldstein, and Harrison) and Medicine (Dr Goldstein), University of Toronto, Ontario, Canada; West Park Healthcare Centre, Toronto, Ontario, Canada (Drs Brooks, Goldstein, and Harrison); and Health and Social Care Institute, Teesside University, Middlesbrough, United Kingdom (Dr Harrison).
J Cardiopulm Rehabil Prev. 2018 Jan;38(1):49-53. doi: 10.1097/HCR.0000000000000291.
Although it has been well documented that the progressive exercise limitation associated with chronic obstructive pulmonary disease can be helped with an assistive device, such as a rollator, many individuals use it infrequently. This study seeks to explore the views of individuals with chronic obstructive pulmonary disease regarding the use of rollators.
A qualitative study design was used. Twelve individuals with moderate to very severe chronic obstructive pulmonary disease were recruited from an outpatient pulmonary rehabilitation program to participate in semistructured interviews. Inductive thematic analysis was applied.
Analysis revealed 5 themes: (1) "acquiring a rollator" reflecting the process of obtaining a device either via a health care professional or self-referral; (2) "acceptance versus resistance" describing opposing views regarding rollator usage; (3) "rollator roadblocks" describing practical barriers to use; (4) "participation" reflecting how rollators can promote reintegration into society; and (5) "revising perceptions" whereby participants embodied an eventual acceptance of rollators.
Rollator acquisition appeared to be a unilateral, prescriptive process. Individuals described initial resistance to use, although in the long-term, negative perceptions were outweighed by the functional and social benefits of rollator use. Encouraging users to participate in deciding whether to use a rollator and providing adequate education on its indications, benefits, barriers, and facilitators are likely to promote optimal use of a rollator.
虽然有大量文献记录表明，慢性阻塞性肺疾病（COPD）患者的运动能力逐渐受限，可通过助行器（如助步器）得到改善，但许多患者很少使用助行器。本研究旨在探讨 COPD 患者对使用助步器的看法。
采用定性研究设计。从门诊肺康复计划中招募了 12 名中重度 COPD 患者参与半结构化访谈。采用归纳主题分析方法。
分析结果揭示了 5 个主题：（1）“获得助步器”，反映了通过医疗保健专业人员或自我推荐获得设备的过程；（2）“接受与抵制”，描述了对助步器使用的相反观点；（3）“助步器障碍”，描述了使用的实际障碍；（4）“参与”，反映了助步器如何促进重新融入社会；（5）“修正认知”，参与者最终接受了助步器。
助步器的获得似乎是一个单方面的、规定性的过程。患者最初对使用存在抵触情绪，但从长期来看，使用助步器的功能和社会效益超过了其负面认知。鼓励患者参与决定是否使用助步器，并提供有关其适应证、益处、障碍和促进因素的充分教育，可能有助于促进助步器的最佳使用。
