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中华移植杂志(电子版) ›› 2025, Vol. 19 ›› Issue (06) : 437 -442. doi: 10.3877/cma.j.issn.1674-3903.2025.06.008

论著

中青年肺移植受者重返工作岗位真实体验的质性研究
丁思妍, 王赟(), 周海琴, 黄珂瑶, 蒋静苇   
  1. 214023 无锡,南京医科大学无锡医学中心 无锡市人民医院 南京医科大学附属无锡市人民医院肺移植中心
  • 收稿日期:2025-04-09 出版日期:2025-12-25
  • 通信作者: 王赟
  • 基金资助:
    无锡市医学创新团队(CXTD2021021); 无锡市"太湖之光"科技攻关(医疗卫生技术攻关)项目(Y20242101); 南京医科大学科技发展基金一般项目(NMUB20240255)

Qualitative research on real experience of young and middle-aged lung transplant recipients returning to work

Siyan Ding, Yun Wang(), Haiqin Zhou, Keyao Huang, Jingwei Jiang   

  1. Wuxi Medical Center, Nanjing Medical University, Wuxi People′s Hospital, the Affiliated Wuxi People′s Hospital of Nanjing Medical University, Lung Transplant Center, Wuxi 214023, China
  • Received:2025-04-09 Published:2025-12-25
  • Corresponding author: Yun Wang
引用本文:

丁思妍, 王赟, 周海琴, 黄珂瑶, 蒋静苇. 中青年肺移植受者重返工作岗位真实体验的质性研究[J/OL]. 中华移植杂志(电子版), 2025, 19(06): 437-442.

Siyan Ding, Yun Wang, Haiqin Zhou, Keyao Huang, Jingwei Jiang. Qualitative research on real experience of young and middle-aged lung transplant recipients returning to work[J/OL]. Chinese Journal of Transplantation(Electronic Edition), 2025, 19(06): 437-442.

目的

了解中青年肺移植受者重返工作岗位就业的真实体验,为制订中青年肺移植受者重返工作岗位干预策略提供参考依据。

方法

采用现象学研究方法对13例已重返工作岗位的中青年肺移植受者进行半结构式访谈,运用Colaizzi 7步分析法分析访谈资料,并提炼主题。

结果

中青年肺移植受者重返工作岗位真实体验可归纳为3个主题和9个亚主题:返岗前感知的不良体验(负性情绪体验束缚重返工作岗位、社会冷淡体验排斥重返工作岗位)、全面积极体验助力重返工作岗位(良好自我管理促进身心康复、身体康健体验保障重返工作岗位、正向情绪调适激励重返工作岗位、社会支持感知推动重返工作岗位)、成功重返成就自我实现(成功重返工作岗位递增积极情绪、减轻家庭经济负担、实现个人价值)。

结论

中青年肺移植受者返岗前虽面临障碍和挑战,但重返工作岗位利于改善身心健康,建议整合多方力量优化社会支持体系,促进患者返岗就业。

Objective

To explore the real employment experience of young and middle-aged lung transplant recipients returning to work, so as to provide reference for formulating intervention strategies for young and middle-aged lung transplant recipients returning to work.

Methods

Phenomenological research method was used to conduct semi-structured interviews with 13 young and middle-aged lung transplant recipients who had returned to work. Colaizzi 7-step analysis method was used to analyze the interview data and refine the theme.

Results

The real experience of young and middle-aged recipients returning to work after lung transplantation could be summarized into 3 themes and 9 sub-themes: the perceived adverse experience before returning to work (negative and emotional experiences limited returning to work, social apathy precluded returning to work), an overall positive experience facilitated returning to work (good self-management promoted physical and mental rehabilitation, the experience of physical wellness ensured returning to work, positive emotional adjustment inspired to return to work, perception of social support promoted returning to work), returning to work successfully achieved self-actualization (successfully returning to work increased positive emotion, lightened the economic burden of family, realised personal value).

Conclusions

Although young and middle-aged lung transplant recipients face obstacles and challenges before returning to work, returning to work is conducive to improving physical and mental health. It is recommended to integrate multiple forces to optimize the social support system to promote recipients to return to work and employment.

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