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

摘要：

目的 探讨肺移植患者放弃重返工作经历过程的真实体验，为制定肺移植患者重返工作干预方案提供参考。 方法 采用目的抽样法，选取无锡市人民医院门诊随访的 15 例肺移植患者进行半结构式访谈，运用 Colaizzi 7 步法进行资料分析和主题归纳。 结果 提炼出 4 个主题和 8 个亚主题，分别是 ：① 规避风险导向的认知体验（感染高风险认知惧怕重返工作、环境高标准认知畏忌重返工作）。② 主观感知导向的身心体验（主观功能不足担忧重返工作、低自我效能感顾虑重返工作）。③ 双向保护导向的安逸体验（自我保护意识强烈无意重返工作、家庭成员体恤保护阻挠重返工作）。④ 岗位困境导向的抉择体验（决策资源稀缺岗位选择不足、健康管理需求左右岗位选择 ）。 结论 肺移植患者重返工作受多重因素干扰，未来需构建“风险防控—信心重建—岗位对接”三维干预体系，帮助其树立正确的康复观和就业观，促进肺移植患者重返工作，实现全面康复。 

关键词:

 , 肺移植 , 重返工作 , 真实体验 , 质性研究