Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland.
School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden.
PLoS One. 2021 Mar 9;16(3):e0247982. doi: 10.1371/journal.pone.0247982. eCollection 2021.
The development of digital solutions is becoming increasingly important in facing global challenges. Therefore, research on this topic is important in taking into account cardiac patients' experiences of the rehabilitation process for the design of digital counseling solutions. The aim of the present qualitative study was to explore the different meanings that patients give to the rehabilitation process using a Glaserian grounded theory (GT) approach. Qualitative interviews were conducted with 30 participants from a rehabilitation center in Finland. The findings indicated a "complex trust-building process" core category comprising five categories of trust-building in rehabilitation: feeling that one has hit rock bottom, facing and coping in a crosscurrent, understanding together as a peer group, moving toward a healthier lifestyle with technology, and finding self-awareness. The complex process of trust-building involved interactions among emotion, cognition, and acceptance and support processes. Therefore, digital rehabilitation should be incorporated into counseling based on patients' psychosocial, physical and emotional needs to help patients become aware of their own feelings and thoughts during the rehabilitation process.
面对全球挑战，开发数字解决方案变得越来越重要。因此，考虑到心脏病人在康复过程中的体验，研究这一课题对于设计数字咨询解决方案非常重要。本研究采用格拉泽扎根理论（GT）方法，旨在探讨患者对康复过程的不同理解。研究采用定性访谈方法，从芬兰的一家康复中心选取了 30 名参与者。研究结果显示，一个核心类别为“复杂的信任建立过程”，包括康复过程中信任建立的五个类别：感觉自己已经到了谷底、逆流而上面对和应对、作为同伴群体共同理解、利用技术迈向更健康的生活方式、以及找到自我意识。信任建立的复杂过程涉及情绪、认知以及接受和支持过程的相互作用。因此，数字康复应该基于患者的社会心理、身体和情感需求纳入咨询中，以帮助患者在康复过程中意识到自己的感受和想法。
