影响参与和参与中风后心脏康复和运动的因素:一项探索性定性研究
Emma Martin1,2, Trudi Cameron3, Kate Radford3,4
1School of Medicine, University of Nottingham, Nottingham.
概括
低参与中风后运动计划限制了二次预防的好处. 诸如可访问性,计划结构和患者特征等因素显著影响中风幸存者的参与.
科学领域:
- 康复医学 康复医学 康复医学
- 公共卫生 公共卫生
- 运动科学 运动科学
背景情况:
- 心脏康复和运动课程对于二次中风预防至关重要.
- 尽管已证明有好处,但中风后的运动参与率仍然低于最佳水平.
- 了解参与障碍对于提高参与度至关重要.
研究的目的:
- 探索影响参与和参与英国中风后运动计划的因素.
- 检查服务用户 (中风幸存者) 和服务提供商的观点.
- 确定影响坚持心脏康复和运动的关键主题.
主要方法:
- 使用现象学方法进行探索性研究.
- 与8名参与者 (4名服务用户) 进行的半结构面试.
- 使用诱导性主题分析分析数据,以健康信念模型和ICF框架为指导.
主要成果:
- 参与受到三个主要主题的影响:可访问性 (环境学前障碍).
- 计划结构 (监督的价值,社会化,适应).
- 患者特征 (人格特征和之前的经验).
结论:
- 通过心脏康复进行有效的二次中风预防需要政策和调试改进以进行适当的交付.
- 需要进一步研究新的运动形式,临床益处和成本效益.
- 解决已识别的障碍是提高中风幸存者参与炼计划的关键.
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