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

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。

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.