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脑卒中伴肌少症患者运动行为影响因素的质性研究

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目的 探究脑卒中伴肌少症患者运动行为的影响因素。方法 采用目的抽样法选取2023年11-12月在河南省人民医院住院的13名脑卒中伴肌少症患者,采用描述性质性研究方法,以面对面半结构式访谈的方式收集资料,运用传统内容分析法对访谈资料进行分析并提取主题。结果 脑卒中伴肌少症患者运动行为的影响因素可归为4个主题(9个亚主题),分别为:个体因素(躯体功能障碍、匮乏的疾病与运动知识、缺乏运动计划、运动价值的认知)、心理因素(担忧运动风险、运动自我效能)、社会因素(信息支持及专业指导、多元外部支持)和环境因素。结论 脑卒中伴肌少症患者运动行为受个体因素、心理因素、社会因素和环境因素的影响,临床医护人员可通过多项行为改变策略促进患者运动行为。
A qualitative study of factors influencing motor behavior in patients with stroke and sarcopenia
Objective To explore factors influencing motor behavior in patients with stroke and sarcopenia.Meth-ods The purposive sampling method was used to select 13 patients with stroke and sarcopenia who were hospitalized in Henan Provincial People's Hospital from November to December 2023.The descriptive research method was used to collect data by face-to-face semi-structured interview,and the traditional content analysis method was used to analyze the inter-view data and extract the theme.Results The influencing factors of motor behavior in stroke patients with sarcopenia can be classified into four themes(nine sub-themes),which are:individual factors(physical dysfunction,limited knowledge of disease and exercise,lack of exercise planning,perception of the exercise value),psychological factors(risk perception,exercise self-efficacy),social factors(professional advice and informational support,multiple external supports),and en-vironmental factors.Conclusions The exercise behaviors of stroke patients with sarcopenia is influenced by individual factors,psychological factors,social factors,and environmental factors.Clinical staff can promote the motor behavior of patients through several behavioral change strategies.

strokesarcopeniaexercisequalitative study

陈维维、刘真亚、王童玉、杜宇、张桂芳

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河南大学护理与健康学院,河南开封 475004

河南省人民医院脑血管科,河南郑州 450003

脑卒中 肌少症 运动 质性研究

2024

老年医学研究

老年医学研究

ISSN:
年,卷(期):2024.5(5)