脑卒中患者健康行为促进与障碍因素的质性研究
The qualitative study of facilitators and barriers to healthy behavior among stroke patients
张孟羽 1郭丽娜 2郭园丽 2杨彩侠 2雷小雨 1张格格 3刘延锦3
作者信息
- 1. 郑州大学护理与健康学院,郑州 450001
- 2. 郑州大学第一附属医院神经内科,国家高级卒中中心,郑州 450052
- 3. 郑州大学第一附属医院护理部,郑州 450052
- 折叠
摘要
目的 探讨脑卒中患者健康行为的促进与障碍因素.方法 采用目的抽样法,于2022年9月至2023年3月对16例脑卒中患者进行面对面半结构式访谈.根据理论域框架(theoretical do-main framework,TDF)设计访谈提纲,运用定向内容分析法和归纳法分析转录的文字资料并从中提炼主题.以TDF作为编码框架,将提炼的主题合并到最相关的域中,根据每个理论域中主题的数量、主题间的关系来确定理论域与脑卒中患者健康行为的对应关系.结果 本研究确定了影响脑卒中患者健康行为的9个理论域:知识、技能、动机和目标、社会影响、社会/职业认同、环境与资源、能力信念、结果信念、行为调节.结论 脑卒中患者健康行为复杂,受多种因素的影响,本研究所识别出的9个理论域将为今后脑卒中患者健康行为干预方案的制定提供依据.
Abstract
Objective To explore the potential facilitators and barriers to healthy behavior among stroke patients.Methods Semi-structured interviews were conducted among 16 stroke patients from Septem-ber 2022 to March 2023 using an objective sampling method.The interview guide was developed using the theoretical domain framework(TDF).Interviews were transcribed and refined the theme using directed con-tent and induction analysis.Using the TDF as the initial coding framework,the themes were then merged into the most relevant domains.Finally,the correspondence between theoretical domains and the healthy behavior of stroke patients was determined based on the frequency and relationship between themes.Results This study identified nine theoretical domains that affected the healthy behavior of stroke patients:knowledge,skills,motivation and goals,social influences,social/professional role and identity,environment context and resources,belief about capability,consequence belief and behavioral regulation.Conclusion The healthy behavior of stroke patients is complex and influenced by several factors.The nine theoretical domains identi-fied in this study will provide recommendations for future health behavior interventions for stroke patients.
关键词
脑卒中/健康行为/质性研究/理论域框架Key words
Stroke/Healthy behavior/Qualitative research/Theoretical domain framework引用本文复制引用
基金项目
国家自然科学基金(72204225)
国家自然科学基金(72274179)
河南省医学科技攻关联合共建项目(LH-GJ20220429)
河南省医学科技攻关联合共建项目(SBGJ202102076)
中国博士后科学基金面上项目(第七十三批)(2023M733234)
出版年
2024
NETL
NSTL
维普
万方数据