Damush Teresa M, Plue Laurie, Bakas Tamilyn, Schmid Arlene, Williams Linda S
VA Stroke QUERI, Roudebush VAMC, USA.
Rehabil Nurs. 2007 Nov-Dec;32(6):253-60, 262. doi: 10.1002/j.2048-7940.2007.tb00183.x.
Physical activity after stroke may prevent disability and stroke recurrence; yet, physical impairments may inhibit poststroke exercise and subsequently limit recovery. The goal of this study was to elicit barriers to and facilitators of exercise after stroke. We conducted three focus groups and achieved content saturation from 13 stroke survivors--eight men and five women--85% of whom were African American and 15% White, with a mean age of 59 years. We coded and analyzed the transcripts from the focus groups for common themes. Participants across groups reported three barriers (physical impairments from stroke, lack of motivation, and environmental factors) and three facilitators (motivation, social support, and planned activities to fill empty schedule) to exercise after stroke. Exercise activity can provide a purpose and structure to a stroke survivor's daily schedule, which may be interrupted after stroke. In addition, receiving social support from peers and providers, as well as offering stroke-specific exercise programming, may enhance physical activity of stroke survivors including those with disabilities. We intend to incorporate these findings into a post-stroke self-management exercise program.
中风后进行体育活动可能预防残疾和中风复发；然而，身体损伤可能会抑制中风后的锻炼，进而限制恢复。本研究的目的是找出中风后锻炼的障碍因素和促进因素。我们开展了三个焦点小组讨论，并从13名中风幸存者（8名男性和5名女性）中实现了内容饱和，其中85%为非裔美国人，15%为白人，平均年龄59岁。我们对焦点小组讨论的记录进行编码和分析，以找出共同主题。各小组的参与者报告了中风后锻炼的三个障碍因素（中风导致的身体损伤、缺乏动力和环境因素）和三个促进因素（动力、社会支持以及为填补空闲时间而安排的活动）。锻炼活动可以为中风幸存者的日常安排赋予目的和结构，而中风后日常安排可能会被打乱。此外，从同伴和医护人员那里获得社会支持，以及提供针对中风的锻炼项目，可能会增强中风幸存者（包括残疾幸存者）的身体活动。我们打算将这些研究结果纳入中风后自我管理锻炼项目中。
