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出血性脑卒中住院患者主要照顾者意义构建过程的质性研究

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目的:探究出血性脑卒中住院患者主要照顾者意义构建过程,为制订积极的心理体验干预提供思路.方法:采取目的性抽样方法,选取 2022 年12月至 2023 年3月在连云港市某三级甲等医院的神经外科就诊的13 名出血性脑卒中住院患者的主要照顾者作为研究对象,依据访谈提纲进行半结构式访谈,采用Braun&Clarke的主题分析法分析资料.结果:共归纳为 4 个主题、9 个亚主题,包括"疾病冲击,原始意义动摇""重塑人生意义""重新发现疾病意义""意义构建的个体积极结果".结论:意义构建是照顾者对疾病照顾压力源进行复杂评估、应对,最终产生积极结果的过程,研究结果可指导临床护理人员制定干预方案,促进照顾者将差异痛苦转化为有意义的行动,促进患者疾病预后.
Meaning making process of main caregivers for hospitalized patients with hemorrhagic stroke:a qualitative study
Objective:To explore the meaning making process of main caregivers of hospitalized patients with hemorrhagic stroke,and to provide references for further interventions.Methods:Purposive sampling was used to select 13 caregivers of hospitalized patients with hemorrhagic stroke in a tertiary grade A hospital in Lianyungang city from December 2022 to March 2023.Semi-structured interviews were conducted according to the interview outline,and the data were analyzed by Braun&Clarke's thematic analysis method.Results:Four main themes and nine sub-themes emerged,including the impact of disease,the upheaval of original meaning,the reshaping of meaning of life,the rediscovery of the meaning of disease,and the positive outcomes of meaning making for individuals.Conclusion:The process of meaning making for caregivers engaging in a complex assessment and coping with the stressors associated with disease care,and ultimately resulting in positive outcomes.This findings can provide reference for clinical nursing staff to formulate interventions,to encourage caregivers to transform the distress into meaningful action,and consequently promoting better patient prognoses.

hemorrhagic strokemain caregivermeaning makingqualitative study

张然、马靓、苗晓、孙佳、郭蒙

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徐州医科大学附属连云港医院神经外科,222000 江苏省连云港市

徐州医科大学附属连云港医院护理部,222000 江苏省连云港市

徐州医科大学附属连云港医院神经内科,222000 江苏省连云港市

出血性脑卒中 主要照顾者 意义构建 质性研究

2023年江苏省医院协会医院管理创新研究课题

JSYGY-3-2023-523

2024

中国护理管理
卫生部医院管理研究所

中国护理管理

CSTPCD北大核心
影响因子:2.545
ISSN:1672-1756
年,卷(期):2024.24(4)
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