从多个角度影响中风患者自我倡导的因素:一个定性研究
Zhixin Zhao1,2, Beilei Lin1, Zhenxiang Zhang3
1School of Nursing and Health, Zhengzhou University, Henan, 450000, China.
BMC health services research
|March 19, 2025
概括
卒中患者的自我倡导受个人,人际,社区和政策因素的影响. 了解这些多层次的影响是改善中风患者自我管理和健康结果的关键.
科学领域:
- 脑卒中康复治疗 脑卒中康复治疗
- 慢性疾病管理 慢性疾病管理
- 患者赋权是患者的权力.
背景情况:
- 对于中风患者来说,自我倡导至关重要,以积极管理他们的病情并改善健康结果.
- 了解影响自我倡导的多方面的因素对于有效的慢性疾病管理至关重要.
研究的目的:
- 探索影响中风患者自我倡导的个人,人际,社区和政策经济因素.
- 应用社会生态模型 (SEM) 来全面分析这些影响因素.
主要方法:
- 对19名中风患者,6名护理人员和8名医务人员进行了一项描述性定性访谈研究.
- 用社会生态模型和内容分析分析了半结构化的深度访谈.
- 在2023年10月至2024年2月期间,从河南省的两家医院收集了数据.
主要成果:
- 个人因素包括自主能力低,疾病认知能力差,以及感知到的负担.
- 人际关系因素包括家庭/同伴支持不足和医务人员占主导地位.
- 社区因素包括人员短缺和有限的资源,而政策经济因素涉及不充分的保险和财务压力.
结论:
- 脑卒中患者的自我倡导是一个复杂的问题,受到社会生态模型的多个层面的影响.
- 研究结果强调需要多方干预措施,以加强中风患者在自我管理中的自我倡导.
- 解决个人,社会,社区和政策经济因素可以改善患者参与和结果.
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