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卒中后疲劳患者疲劳体验及应对策略的质性研究

Experience of fatigue and coping strategies among patients with post-stroke fatigue: a qualitative study

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【作者】 司雨朦杜静余红郝书婕廖国琼徐倩范香格

【Author】 Si Yumeng;Du Jing;Yu Hong;Hao Shujie;Liao Guoqiong;Xu Qian;Fan Xiangge;School of Nursing, Anhui University of Chinese Medicine;

【通讯作者】 杜静;

【机构】 安徽中医药大学护理学院深圳市中医院针灸科空军军医大学唐都医院神经内科

【摘要】 目的 深入了解卒中后疲劳患者疲劳体验及应对策略,为制定针对性护理方案提供参考。方法 采用描述性质性研究,按照目的抽样法选取16例卒中后疲劳患者进行半结构访谈,运用主题分析法对访谈资料进行分析与整理。结果 卒中后疲劳患者疲劳体验共提炼出4个主题:卒中后疲劳特征、日常生活陷入紊乱状态、与他人讨论疲劳的反馈、渴望获得支持与理解。疲劳应对策略共提炼出2个主题:努力克服及适应疲劳、逃避或放弃应对疲劳。结论 医护人员应重视卒中后疲劳患者的疲劳筛查与评估,鼓励患者正确应对疲劳,并采取多渠道的综合干预策略,缓解患者的疲劳症状。

【Abstract】 Objective To understand fatigue experience and coping strategies of patients with post-stroke fatigue, so as to provide a reference for developing tailored nursing plans.Methods A descriptive qualitative study was designed, and 16 individuals with post-stroke fatigue were selected using purposive sampling method, then semi-structured interviews were conducted on them, at last, the interview data were analyzed and categorized using thematic analysis.Results Four themes on fatigue experience were extracted: the distinctive characteristics of post-stroke fatigue, the disruption of daily life, the feedback of discussing fatigue with others, and the desire for support and understanding.Two themes emerged from the strategies patients used to cope with fatigue: proactive efforts to overcome and adjust to fatigue, the inclination to escape or abandon managing fatigue.Conclusion Medical staff should pay attention to screening and assessing post-stroke fatigue, encourage patients to cope with fatigue positively, and take comprehensive intervention through various channels to relieve fatigue symptom.

【基金】 深圳市科技计划项目(KCXFZ20201221173208024);安徽省高等学校科学研究重点项目(2023AH050705)
  • 【文献出处】 护理学杂志 ,Journal of Nursing Science , 编辑部邮箱 ,2024年07期
  • 【分类号】R473.74
  • 【下载频次】384
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