基于社会生态模型的急性缺血性中风患者早期活动的影响因素:一种定性研究
Guanxiu Tang1, Jun Lei2, Qiuxiang Zhang2
1Nursing Department, Third Xiangya Hospital, Central South University, Changsha 410013, China. tangguanxiu@163.com.
概括
早期活动对于急性缺血性中风 (AIS) 后的恢复至关重要. 影响早期活动的因素包括医务人员,患者状况,社会支持和标准化程序. 解决这些问题可以改善患者的治疗结果.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 公共卫生 公共卫生
背景情况:
- 急性缺血性中风 (AIS) 是导致长期残疾的主要原因.
- 在AIS后的早期活动对于功能恢复至关重要.
- 了解早期活动的障碍对于有效的干预至关重要.
研究的目的:
- 确定影响AIS患者早期活动实施的因素.
- 为制定有针对性的干预策略提供见解.
- 提高AIS幸存者的功能恢复和减少残疾.
主要方法:
- 使用有目的抽样进行定性研究.
- 与19名AIS患者,护理人员和19名医疗保健专业人员进行了半结构面试.
- 数据使用基于社会生态理论的Colaizzi七步方法进行分析.
主要成果:
- 在四个主题中确定了关键障碍:医务人员 (知识,技能,责任),患者 (疾病严重程度,心理因素,跌倒恐惧),社会环境 (支持,资源,保险) 和证据/规范 (缺乏标准化程序).
- 具体因素包括医务人员知识不足,患者害怕跌倒,社会支持有限.
- 需要改善早期活动的证据和标准化协议.
结论:
- 在AIS患者的早期活动是多因素的,受个人,专业,社会和系统因素的影响.
- 解决这些层面的综合战略是必要的,以促进早期活动.
- 干预措施应针对医务人员,患者,社会环境和程序规范,以优化康复.
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