Gong Jian-Mei, Du Jian-Shi, Han Dong-Mei
Nursing School of Jilin University, Changchun City, Jilin Province, People's Republic of China.
Department of the Lymphatic and Vascular Surgery, China-Japan Union Hospital of Jilin University, Key Laboratory of Lymphatic Surgery Jilin Province, Changchun City, Jilin Province, People's Republic of China.
Patient Prefer Adherence. 2020 Sep 18;14:1659-1667. doi: 10.2147/PPA.S271481. eCollection 2020.
BACKGROUND/OBJECTIVE: The recommendation of bed rest for deep vein thrombosis (DVT) patients has changed during the last 20 years, and it has become a concern for researchers. The existing researches on potentially harmful treatment of bed rest for DVT patients focus only on physiological outcomes. This qualitative study explored the implications of bed rest from the perspective of patients with acute DVT. Understanding these implications will provide more evidence on whether bed rest should be used as a medical treatment of acute DVT.
For data collection, a descriptive qualitative design utilizing semi-structured, in-depth, face-to-face interviews with nine patients with acute DVT was conducted. In order to find the themes and subthemes emerging from the interviews for data analysis, the Colaizzi method, which was suggested by phenomenological methodology, was used.
The four major themes found were physical effects, psychological effects, social effects, and post-trauma growth. These themes illustrated the bed rest experiences of patients and it has a negative impact on the quality of life (QOL) amidst acute DVT.
Bed rest for patients with acute DVT is a physically, emotionally, and socially distressing phenomenon that simultaneously affects QOL and induces post-traumatic growth. We believe that bed rest is not beneficial to the physical and mental health of patients with acute DVT. This study adds to the available evidence on the harmful effect of bed rest as a treatment from the perspective of patients with acute DVT. Further quantitative studies should compare the quality of life and psychosocial status of patients with and without bed rest amidst acute DVT.
背景/目的：在过去20年里，深静脉血栓形成（DVT）患者卧床休息的建议发生了变化，这已成为研究人员关注的问题。现有的关于卧床休息对DVT患者潜在有害治疗的研究仅关注生理结果。这项定性研究从急性DVT患者的角度探讨了卧床休息的影响。了解这些影响将为卧床休息是否应作为急性DVT的一种治疗方法提供更多证据。
为收集数据，采用描述性定性设计，对9例急性DVT患者进行了半结构化、深入的面对面访谈。为了找出访谈中出现的主题和子主题以进行数据分析，使用了现象学方法建议的Colaizzi方法。
发现的四个主要主题是身体影响、心理影响、社会影响和创伤后成长。这些主题说明了患者的卧床休息经历，并且在急性DVT期间对生活质量（QOL）有负面影响。
急性DVT患者的卧床休息是一种在身体、情感和社会方面令人痛苦的现象，同时影响生活质量并引发创伤后成长。我们认为卧床休息对急性DVT患者的身心健康没有益处。本研究从急性DVT患者的角度为卧床休息作为一种治疗方法的有害影响增添了现有证据。进一步的定量研究应比较急性DVT患者有无卧床休息时的生活质量和心理社会状况。
