急性脑卒中患者入院时迁移应激的现象学研究

目的 了解急性脑卒中患者入院时迁移应激的感受。方法 采用现象学研究方法,对15例急性脑卒中患者进行访谈。结果 急性脑卒中患者入院时存在迁移应激,入院前感受表现出思绪与行为紊乱,不信任感;入院时体验为解决问题的迫切感、危机隐患（高度关注环境改变、过分关注医疗仪器噪音）、角色行为冲突及寻求关注与支持（渴望获得家庭支持、对恢复健康的需求增加）。结论 急性脑卒中患者入院时普遍存在迁移应激症状,且症状表现多为负性体验,医护人员应协助患者加强家庭支持,降低危机隐患,提高急性脑卒中患者的自我应对能力及身心健康。

Relocation Stress on Admission of Acute Stroke Patients: A Phenomenological Study

Objective To investigate the emotional symptoms of relocation stress on admission of patients with acute stroke. Methods Fifteen patients with acute stroke were interviewed by phenomenological method. Results Relocation stress existed in acute stroke patients.They presented disordered thoughts and behaviors and a sense of distrust before admission. When on admission,they experienced hidden danger pertinent to environmental changes, and the noise of medical equipment and role-behavior conflicts, and they sought family support and urgent need for recovery. Conclusion Relocation stress exists commonly in acute stroke patients when they are admitted to the hospital, and the symptoms are mostly negative experience. More family support and measures to deal with potential crisis are conducive to improving the self-coping skill and physical and mental health of acute stroke patients.