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寻找前进的道路:参与复杂心理社会干预后脑卒中患者的生活体验。

Finding the Way Forward: The Lived Experience of People With Stroke After Participation in a Complex Psychosocial Intervention.

机构信息

UiT The Arctic University of Norway, Narvik, Norway.

Oslo University Hospital, Oslo, Norway.

出版信息

Qual Health Res. 2019 Oct;29(12):1711-1724. doi: 10.1177/1049732319833366. Epub 2019 Mar 12.

DOI:10.1177/1049732319833366
PMID:30862270
Abstract

Stroke patients' well-being is threatened after stroke. A psychosocial intervention was developed for Norwegian stroke patients living in the community. Eight individual sessions between people with stroke and a trained health care professional were conducted 1 to 6 months post-stroke with one group of participants and 6 to 12 months post-stroke with another group. Subsequently, 19 of these stroke patients were interviewed to gain an in-depth understanding of their lived experience of the influence of the intervention on their adjustment process. Interview texts were analyzed using Ricoeur's interpretation theory. Two participants did not personally find the intervention useful. The remaining participants greatly appreciated dialogues with the empathetic intervention personnel, feeling free to discuss their fears and worries. The intervention raised these participants' awareness of their needs and resources. They were guided to resume their everyday life and adopt a future-oriented attitude. The intervention facilitated their meaning-making endeavors and post-stroke adjustment.

摘要

脑卒中患者的生活在脑卒中后受到威胁。为居住在社区中的挪威脑卒中患者开发了一种社会心理干预措施。一组参与者在脑卒中后 1 至 6 个月内进行了 8 次个体会议,另一组参与者在脑卒中后 6 至 12 个月内进行了 8 次个体会议。随后,对其中 19 名脑卒中患者进行了访谈,以深入了解他们对干预措施对其调整过程影响的亲身经历。使用 Ricoeur 的解释理论对访谈文本进行了分析。两名参与者个人认为该干预措施没有用。其余的参与者非常赞赏与富有同理心的干预人员进行对话,他们可以自由地讨论自己的恐惧和担忧。该干预措施提高了这些参与者对自身需求和资源的认识。他们被引导重新开始日常生活并采取面向未来的态度。该干预措施促进了他们对意义的追求和脑卒中后的调整。

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