Hole E, Stubbs B, Roskell C, Soundy A
Department of Physiotherapy, University of Birmingham, 52 Pritchatts Road, Edgbaston, Birmingham B15 2TT, UK.
School of Health and Social Care, University of Greenwich, London SE10 9LS, UK.
ScientificWorldJournal. 2014 Jan 28;2014:349151. doi: 10.1155/2014/349151. eCollection 2014.
Patient experience is increasingly being recognised as a key health outcome due to its positive correlation with quality of life and treatment compliance. The aim of this study was to create a model of how patient's experiences of rehabilitation after stroke influence their outcome.
A metaethnography of qualitative articles published since 2000 was undertaken. A systematic search of four databases using the keywords was competed. Original studies were included if at least 50% of their data from results was focused on stroke survivors experiences and if they reflected an overarching experience of stroke rehabilitation. Relevant papers were appraised for quality using the COREQ tool. Pata analysis as undertaken using traditional processes of extracting, interpreting, translating, and synthesizing the included studies.
Thirteen studies were included. Two themes (1) evolution of identity and (2) psychosocial constructs that influence experience were identified. A model of recovery was generated.
The synthesis model conceptualizes how the recovery of stroke survivors' sense of identity changes during rehabilitation illustrating changes and evolution over time. Positive experiences are shaped by key psychosocial concepts such as hope, social support, and rely on good self-efficacy which is influenced by both clinical staff and external support.
由于患者体验与生活质量及治疗依从性呈正相关，其日益被视为一项关键的健康指标。本研究旨在构建一个模型，以阐明中风后患者的康复体验如何影响其康复效果。
对2000年以来发表的定性文章进行元民族志研究。使用关键词对四个数据库进行了系统检索。如果原始研究至少50%的结果数据聚焦于中风幸存者的体验，且反映了中风康复的总体体验，则纳入该研究。使用COREQ工具对相关论文的质量进行评估。采用传统的提取、解读、翻译和综合纳入研究的流程进行数据分析。
纳入了13项研究。确定了两个主题：（1）身份认同的演变；（2）影响体验的心理社会结构。生成了一个康复模型。
综合模型概念化了中风幸存者身份认同感在康复过程中的恢复方式，阐明了随时间的变化和演变。积极体验受希望、社会支持等关键心理社会概念的影响，并依赖良好的自我效能感，而自我效能感受临床工作人员和外部支持的影响。
