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有效的中风后适应行为模型需要家庭支持系统。

[The effective post-stroke adaptation behavior model requires a family support system].

作者信息

Dharma Kelana-Kusuma, -Rahayu Halina

机构信息

School of Nursing, Politeknik Kesehatan Kementerian Kesehatan Pontianak, Indonesia.

School of Nursing, Politeknik Kesehatan Kementerian Kesehatan Pontianak, Indonesia.

出版信息

Enferm Clin (Engl Ed). 2022 Mar-Apr;32(2):123-130. doi: 10.1016/j.enfcle.2020.11.006.

Abstract

PURPOSE

This study aimed to explain the effective post-stroke adaptation behavior based on the Roy's adaptation model (RAM) through the patient experiences when undergoing the adaptation process after stroke.

METHODS

This study was qualitative used a phenomenological approach. The participants were patients undergoing post-stroke recovery at home with the following inclusion criteria: post-discharge from the hospital 2-3 months, and in stable medical condition. The data were collected through in-depth interviews. The data analysis was performed through content analysis. We used Lincoln and Guba's criteria to establish the trustworthiness of the study.

RESULTS

Three thematic categories structured the meaning of the stroke survivor's experience: (1) Problems after stroke; (2) Adaptive coping strategies and (3) Effective adaptation response.

CONCLUSION

A thematic analysis integrated with Roy's adaptation model generated an effective post-stroke adaptation model. We recommend the development of a family empowerment intervention framework to improve the adaptation behavior of stroke survivors.

摘要

目的

本研究旨在通过中风患者在经历中风后适应过程中的体验,基于罗伊适应模式(RAM)解释有效的中风后适应行为。

方法

本研究为定性研究,采用现象学方法。参与者为在家中进行中风后康复的患者,纳入标准如下:出院2至3个月,且病情稳定。通过深入访谈收集数据。通过内容分析进行数据分析。我们使用林肯和古巴的标准来确立研究的可信度。

结果

三个主题类别构建了中风幸存者体验的意义:(1)中风后的问题;(2)适应性应对策略;(3)有效的适应反应。

结论

与罗伊适应模式相结合的主题分析产生了一个有效的中风后适应模式。我们建议制定一个家庭赋权干预框架,以改善中风幸存者的适应行为。

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