| 郝慧敏,许娟,郭彧,武妮妮,马倩茹,董琪,栗江霞.多维视角下探讨动脉瘤性蛛网膜下腔出血运动康复体验的质性研究[J].上海护理,2026,26(4): |
| 多维视角下探讨动脉瘤性蛛网膜下腔出血运动康复体验的质性研究 |
| A qualitative study on the exercise rehabilitation experience of aneurysmal subarachnoid hemorrhage from a multidimensional perspective |
| DOI： |
| 中文关键词: 动脉瘤性蛛网膜下腔出血 运动康复 支持性照护 质性研究 康复护理 |
| 英文关键词:Aneurysmal subarachnoid hemorrhage sports rehabilitation supportive care qualitative research Rehabilitation care |
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| 中文摘要: |
| 目的 通过多维视角探讨动脉瘤性蛛网膜下腔出血患者的运动康复体验,为完善康复支持性照护策略提供参考。方法 采用目的抽样法,选取山西省某三级甲等医院康复科康复师8人,照护者12人及动脉瘤性蛛网膜下腔出血伴肢体运动障碍患者14人进行半结构式访谈,采用Colaizzi7步分析法对访谈资料进行主题提炼。结果 研究共提炼出重塑生活方式与角色(改变运动方式、打破生活节奏、变更角色定位)、康复挑战与信心提升(康复知识缺乏、疾病状况不佳、经济负担沉重、康复信心倍增)、全面康复策略与方法(感知康复益处,激发训练热情、联合多种技巧,综合科学康复、评估治疗效果,实施精准康复、改善家庭环境,助力患者康复)三个主题及十一个亚主题。结论 aSAH患者运动康复体验中存在康复知识缺乏、疾病状况不佳、经济负担沉重及角色适应不良等障碍因素。未来应从加强医患沟通、制定个性化康复计划、减轻经济负担及强化家庭支持等方面入手,完善aSAH患者的运动康复支持性照护策略。 |
| 英文摘要: |
| Objective To explore the exercise rehabilitation experience of patients with aneurysmal subarachnoid hemorrhage from a multidimensional perspective, and to provide a reference for improving rehabilitation supportive care strategies. Methods A semi-structured interview was conducted with 8 rehabilitation therapists, 12 caregivers and 14 patients with aneurysmal subarachnoid hemorrhage with limb movement disorder in a tertiary hospital in Shanxi Province by purposive sampling, and the Colaizzi 7-step analysis method was used to refine the interview data. ResultsThe study extracted three themes and 11 sub-themes: reshaping lifestyles and roles (changing exercise patterns, breaking the rhythm of life, and changing role positioning), rehabilitation challenges and confidence improvement (lack of rehabilitation knowledge, poor disease status, heavy economic burden, and doubling rehabilitation confidence), and comprehensive rehabilitation strategies and methods (perceiving the benefits of rehabilitation, stimulating training enthusiasm, combining multiple skills, comprehensive scientific rehabilitation, evaluating treatment effects, implementing precision rehabilitation, improving the family environment, and helping patients recover).Conclusion There are obstacles in the exercise rehabilitation experience of aSAH patients, such as lack of rehabilitation knowledge, poor disease status, heavy economic burden and role maladaptation. In the future, it is necessary to improve the sports rehabilitation supportive care strategy for patients with aSAH by strengthening doctor-patient communication, formulating personalized rehabilitation plans, reducing financial burden, and strengthening family support. |
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