康复期脑卒中患者真实感受的质性研究

Qualitative research on true feeling for patients with convalescent stroke

目的了解康复期脑卒中患者真实感受,为脑卒中患者护理提供借鉴。方法研究围绕康复期脑卒中患者患病后的内心体验及自身改变等问题,以Colaizzi现象学研究方法为指导,采用深入访谈法收集12例康复期脑卒中患者的资料,并对资料进行深入分析。结果通过反复的分析、比较、归纳,提炼出不能接受自身的改变、担心疾病复发及对疾病预后没信心、力不从心及心理烦躁、缺乏安全感、睡眠质量的改变、自我控制情绪的能力下降、为加重家庭负担而感到内疚、感到生活质量下降8个主题。结论脑卒中患者消极感受大于积极感受,迫切需要医护人员专业的帮助及指导。

Objective To study the true feeling for patients with convalescent stroke to provide evidence for stroke patients＇ nursing care.Method Study the true feeling,experience after sickness and self-changing of patients with convalescent stroke.Collect information of 12 patients with convalescent stroke by in-depth interview according to Colaizzi phenomenological research.Analyze the information deeply.Result 8themes of non-acceptance on self changing,concern on disease recurrence and unconfidence on prognosis of disease,week and irritability,lack of sense of security,change of sleeping quality,reduce on self mood control ability,guilty on increased family burden and reduced quality of life are get through analysis,comparison and induction.Conclusion Stroke patients have more negative feelings than positive feelings.They need professional guidance from medical staff urgently.