家庭复原力对缺血性脑卒中患者影响的诠释性现象学研究

Effect of family resilience on ischemic stroke patients:a hermeneutic phenomenological study

目的 了解家庭复原力对缺血性脑卒中患者的影响,为促使患者积极面对疾病、家庭适应提供参考。方法 采用目的抽样方法,于2021年6月至9月对湖南省某三级甲等综合医院20例缺血性脑卒中患者进行半结构式访谈,运用Colaizzi7步分析法对访谈资料进行分析和归纳。结果 共提炼3个主题和10个亚主题,分别为促使患者创伤后成长(患者接纳和重视疾病,形成良好的疾病认知;激发抗病意志,增强康复意识,形成健康生活行为;精神信念寄托,赋予逆境意义);稳固家庭关系,提供情感支持(提供安全、舒适的家庭环境;促进家庭成员积极沟通、共同决策;优化角色分工,灵活调整家庭结构;提升家庭联结感,增进凝聚力);给予精神慰藉和经济支持(家庭成员共济支持,减轻治疗负担;家庭亲密度支持,减轻负性情绪;家庭外部资源援助,减轻经济负担)。结论 家庭复原力对缺血性脑卒中患者影响较积极,发挥家庭功能的有效作用,促进患者早日康复。

Objective To investigate the influence of family resilience on patients with ischemic stroke and provide references for promoting positive handling of patients and the family adaptation.Methods Objective sampling was employed to conduct the semi-structured interviews among 20 patients with ischemic stroke in a Grade IIIA hospital in Hunan Province between June and September 2021.The data acquired from the interviews were analysed and summarised following Colaizzi analysis method.Results A total of three themes with 10 dimensions were extracted,including promoting post-traumatic growth of patients with 3 dimensions(accepting and attaching importance to the disease to develop a right recognition of the disease,enhancing the will to combat the disease and increasing rehabilitative awareness to develop a healthy life style,cultivating spiritual believes to increase the sense of adversity;stabilising family function and providing emotional support with 4 dimensions in creating safe and satisfactory family settings,facilitating active communications among family members to jointly make decisions fighting against the disease,optimising the roles of family members,and fortifying the cohesion among family members;and proving spiritual comfort and material support with 3 dimensions of providing mutual support among family members to reduce the costs of treatment,improving family intimacy and adaptive support to reduce negative emotions,and seeking support from society to reduce financial burdens.Conclusions Family resilience brings influences to the patients with ischemic stroke from multiple perspectives.It can promote post-traumatic growth,stabilise family functions,provide emotional support,and provide spiritual consolation as well as financial support.Therefore,healthcare workers should enhance the family resilience and ensure the role of family functions to promote an early recovery of patients.