关键词:

 , 肺移植 , 重返工作 , 真实体验 , 质性研究

Abstract:

Objective To explore the real experience of lung transplant recipients who have given up the process of returning to work，and to provide a reference for developing intervention programs for return to work in this population. Methods A purposive sampling method was used to select 15 lung transplant recipients whowere followed up in the outpatient clinic of Wuxi People’s Hospital. Data analysis and theme summarization were conducted using Colaizzi's seven-step method. Results Four themes and eight sub-themes were extracted ： ① Risk-avoidance oriented cognitive experience（fear of returning to work due to high infection risk perception，reluctance to return to work due to high environmental standards perception）；② Subjective perception oriented physical and psychological experience（concerns about returning to work due to perceived functional insufficiency， worries about returning to work due to low self-efficacy）；③ Bidirectional protection oriented comfort experience （strong self-protection awareness leading to unwillingness to return to work，family members' protective care obstructing return to work）；④ Job dilemma oriented decision-making experience（scarcity of decision-making resources and limited job options，health management needs influencing job selection）. Conclusion Returnto work among lung transplant recipients is interfered with by multiple factors. In the future，a three-dimensional intervention system of "risk prevention—confidence building—job matching" should be established to help patients develop correct rehabilitation and employment concepts，promote their return to work，and achieve comprehensive recovery. 

Key words:

Lung transplantation, Return to work, Real experience, Qualitative research