南宁市某社区缺血性脑卒中偏瘫老年患者生活质量的质性研究

Quality of life in elderly patients with ischemic stroke and hemiplegia in a certain community in Nanning:A qualitative study

目的了解南宁市某社区缺血性脑卒中偏瘫老年患者生活质量及影响因素,为科学有效开展社区综合康复干预提供参考。方法采用目的抽样法选取南宁市某社区6例缺血性脑卒中偏瘫老年患者为调查对象,运用现象学研究方法对6例老年患者进行半结构化访谈,采用Colaizzi资料分析法对访谈资料进行分析。结果共归纳出3个主题患者存在不同程度的心理问题;患者家庭经济受到一定程度影响;来自家庭、社区和社会的关爱对于患者融入社会有很大帮助。结论应加强对缺血性脑卒中偏瘫老年患者心理健康的关注,采取多种措施缓解其家庭经济负担。国家应加强社区卫生服务建设,关注缺血性脑卒中偏瘫患者的社会需求,提高其生活质量。

Objective To investigate the quality of life in elderly patients with hemiplegia following ischemic stroke in a certain community of Nanning,and provide evidence for the community-based rehabilitation intervention.Methods A purposive interview sample of 6 elderly patients with ischemic stroke and hemiplegia was identified and recruited.The qualitative semi-structure interview was conducted,and the verbatim transcripts of those interviews served as the data for an interpretative phenomenological analysis.Results There themes were concluded:elderly patients with ischemic stroke and hemiplegia had suffered from varying degrees of mental illness;financial burden of the disease on their families;care form family,community and society;community and social care reintegrated the patients back into the community.Conclusion More attention should be paid to the mental health of elderly patients with ischemic stroke and hemiplegia,and multiple measures should be carry out to relieve the financial burden on their families.National-level strategies are required to improve the quality of community health care and focus on the social needs of patients with hemiplegia caused by ischemic stroke.