脑卒中半失能老年患者康复决策体验的质性研究 |
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引用本文: | 郭子宁,曾司甯,凌克玉,陈述凡,姚亭,李海涵,徐玲,朱晓萍,.脑卒中半失能老年患者康复决策体验的质性研究[J].成都医学院学报,2024,19(2):342-346. |
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作者姓名: | 郭子宁 曾司甯 凌克玉 陈述凡 姚亭 李海涵 徐玲 朱晓萍 |
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作者单位: | 1. 安徽中医药大学护理学院;2. 同济大学附属第十人民医院护理部 |
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摘 要: | 目的 了解脑卒中半失能老年患者在参与康复治疗决策时的体验,为制定决策支持策略提供依据。方法 本研究为质性研究,选取31名脑卒中半失能老年患者进行半结构式访谈,根据Colaizzi七步分析法对资料进行整理。结果 共提炼出3个主题和11个亚主题,即康复决策的复杂感受(迷茫、无助感、不确定感、挫败感、对医护的信任感);面临多重决策困境(参与决策延迟、信息支持不足、经济负担重、替代决策干扰);存在多方面的决策支持需求(医护人员的专业指导、有效的决策辅助支持、完善的延续性康复体系)。结论 脑卒中半失能老年患者面临多重康复决策困境,医护人员需缓解患者负性情绪,了解其真实参与决策的意愿,给予专业指导与信息支持,进而制定科学的决策支持策略。
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关 键 词: | 脑卒中 半失能老年患者 康复 共享决策 决策体验 质性研究 |
A qualitative study on the rehabilitation decision-making experience of elderly stroke patients with semi disability |
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Authors: | Guo Zining; Zeng Sining; Ling Keyu; Statement:; Yao Ting; Li Haihan; Xu Ling; Zhu Xiaoping; |
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Institution: | 1. School of Nursing, Anhui University of Traditional Chinese Medicine; 2. Nursing Department of Tongji University Affiliated Tenth People''s Hospital |
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Abstract: | Objective To gain an in-depth understanding of theexperiences of semi-disabled elderly patients
with stroke when participating in decision-making about rehabilitation therapy,and to provide a basis for the
development of decision-support strategies.Methods In this qualitative study,semi-structured in-depth interviews
were conducted with 31 semi-disabled elderly patients with stroke.And the data gained were organized and analyzed
according to the Colaizzi seven-step analysis method.Results A total of 3 themes and ll sub-themes were extracted,
namely,complex feelings of rehabilitation decision-making(confusion,helplessness,uncertainty,frustration,and
trust in healthcare),facing multiple decision-making dilemmas(delayed participation in decision-making,insufficient
information support,high economic burden,and interference from alternative decision-making),and the existence of
multifaceted decision support needs(professional guidance from healthcare professionals,effective decision-aiding
support,and a sound continuity of the rehabilitation system).Conclusion Semi-disabled elderly patients with stroke
face multiple rehabilitation decision-making dilemmas,which requires healthcare professionals to alleviate patients
negative emotions,understand their true willingness to participate in decision-making,provide professional guidance
and information support,and then develop scientific decision-support strategies. |
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Keywords: | Stroke Semi disabled elderly patients Rehabilitation Shared decision-making Decision making experience Qualitative research |
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