Clinical Psychology, School of Psychology, Cardiff University, Cardiff, UK.
Disabil Rehabil. 2012;34(4):347-54. doi: 10.3109/09638288.2011.607215. Epub 2011 Oct 12.
The aim was to examine stroke patients', carers' and volunteer supporters' experiences of peer support groups during hospital rehabilitation.
Semi-structured interviews and questionnaires were analysed by inductive thematic analysis. Participants also answered a standardised Therapeutic Factors Inventory (TFI).
Five superordinate themes emerged for patients, carers and volunteer supporters. Three themes related to group processes; 'practical issues' (five subthemes), 'staff presence', 'similarity-difference', and comparison with other group members. 'Value of peers' (five subthemes) described beneficial outcomes. The 'similarity-difference' theme and four subthemes under 'value of peers' were related to items from the TFI which drew agreement from most participants. The supporters had some unique themes; two were concerned with group organisation, one was the experience of 'being helpful to others' and one described the experiences of training. As well as its links with themes, agreement with TFI items revealed experiences that did not emerge as themes; feeling secure, expressing emotions and increased independence.
Participation in the group was experienced as beneficial by participants. Benefits included helpful information, advice, making new connections and increased awareness of stroke. Participants identified important group processes such as upward and downward comparison. Responses to the TFI suggested that attendance brought therapeutic gains.
本研究旨在探讨脑卒中患者、照料者和志愿者支持者在医院康复期间对同伴支持小组的体验。
采用归纳主题分析方法对半结构式访谈和问卷调查进行分析。参与者还回答了一份标准化的治疗因素量表（TFI）。
患者、照料者和志愿者支持者出现了五个超主题。三个主题与小组过程有关；“实际问题”（五个子主题）、“员工存在”、“相似-差异”，以及与其他小组成员的比较。“同伴的价值”（五个子主题）描述了有益的结果。“相似-差异”主题和“同伴价值”下的四个子主题与 TFI 的大多数项目有关，大多数参与者对此表示同意。支持者有一些独特的主题；两个与小组组织有关，一个是“帮助他人”的体验，一个描述了培训的体验。除了与主题的联系外，与 TFI 项目的一致也揭示了一些没有作为主题出现的体验；感到安全、表达情感和增加独立性。
参与者认为参与小组活动是有益的。益处包括有益的信息、建议、建立新的联系和提高对中风的认识。参与者确定了重要的小组过程，如向上和向下比较。对 TFI 的反应表明，参加小组活动带来了治疗上的好处。
