卒中后疲劳患者疲劳体验及应对策略的质性研究
Experience of fatigue and coping strategies among patients with post-stroke fatigue:a qualitative study
司雨朦 1杜静 2余红 2郝书婕 1廖国琼 2徐倩 2范香格3
作者信息
- 1. 安徽中医药大学护理学院(安徽合肥,230012)
- 2. 深圳市中医院针灸科
- 3. 空军军医大学唐都医院神经内科
- 折叠
摘要
目的 深入了解卒中后疲劳患者疲劳体验及应对策略,为制定针对性护理方案提供参考.方法 采用描述性质性研究,按照目的抽样法选取16例卒中后疲劳患者进行半结构访谈,运用主题分析法对访谈资料进行分析与整理.结果 卒中后疲劳患者疲劳体验共提炼出4个主题:卒中后疲劳特征、日常生活陷入紊乱状态、与他人讨论疲劳的反馈、渴望获得支持与理解.疲劳应对策略共提炼出2个主题:努力克服及适应疲劳、逃避或放弃应对疲劳.结论 医护人员应重视卒中后疲劳患者的疲劳筛查与评估,鼓励患者正确应对疲劳,并采取多渠道的综合干预策略,缓解患者的疲劳症状.
Abstract
Objective To understand fatigue experience and coping strategies of patients with post-stroke fatigue,so as to provide a reference for developing tailored nursing plans.Methods A descriptive qualitative study was designed,and 16 individuals with post-stroke fatigue were selected using purposive sampling method,then semi-structured interviews were conducted on them,at last,the interview data were analyzed and categorized using thematic analysis.Results Four themes on fatigue experience were extracted:the distinctive characteristics of post-stroke fatigue,the disruption of daily life,the feedback of discussing fatigue with others,and the desire for support and understanding.Two themes emerged from the strategies patients used to cope with fatigue:proactive ef-forts to overcome and adjust to fatigue,the inclination to escape or abandon managing fatigue.Conclusion Medical staff should pay attention to screening and assessing post-stroke fatigue,encourage patients to cope with fatigue positively,and take comprehensive intervention through various channels to relieve fatigue symptom.
关键词
脑卒中/卒中后疲劳/心理体验/应对策略/质性研究Key words
stroke/post-stroke fatigue/psychological experience/coping strategies/qualitative study引用本文复制引用
基金项目
深圳市科技计划(KCXFZ20201221173208024)
安徽省高等学校科学研究重点项目(2023AH050705)
出版年
2024
NETL
NSTL
万方数据