脊髓损伤患者对居家康复环境因素体验的质性研究

Experience on environmental factors for home rehabilitation individuals with spinal cord injury:a qualitative research

目的了解脊髓损伤患者对居家康复环境因素的真实体验,为构建针对性干预策略提供参考。方法基于《国际功能、残疾和健康分类》核心组合的环境因素条目,采用现象学研究方法,选择12例脊髓损伤居家康复患者进行半结构式深入访谈,运用Colaizzi 7步分析法归纳并提炼主题。结果提炼出2个主题:环境促进因素体验(支持氛围良好、护理服务模式温馨)和环境障碍因素体验(居家环境适应困难、缺少适宜的辅助器具、夫妻关系紧张、重新融入社会困难、社会服务可及性有限)。结论脊髓损伤患者居家康复环境障碍因素居多,应重视患者居家康复环境因素评估,完善居家康复环境管理体系,借助人工智能实现居家康复管理,以推动患者康复进程,改善临床结局。

Objective To explore the real experience of on environmental factors for home rehabilitation individuals with spinal cord injury and provide a reference for the intervention strategies.Methods Using the phenomenological research method in qualitative research,12 home rehabilitation patients with spinal cord injury received semi-structured in-depth interview based on the environmental factors core items of the International Classification of Functioning,Disability and Health,and Colaizzi 7-step analysis method was used to summarize and refine the theme.Results 2 themes were extracted:environmental facilitators(good support atmosphere,warm nursing service mode),environmental barriers(difficulties in adjusting to the home environment,lack of appropriate assistive devices,marital tensions,difficulties in social reintegration,and limited access to social services).Conclusion There are many barriers in the home rehabilitation environment for patients with spinal cord injury.Attention should be paid to the assessment of home rehabilitation environment,improve the multi-dimensional home rehabilitation environment management system,and achieve the home rehabilitation management with the help of artificial intelligence,to promote the rehabilitation process and improve clinical outcomes.