School of Nursing, Oakland University, Rochester, Michigan, USA.
Neurosurgical Intensive Care Unit, Detroit, Michigan, USA.
Nurs Forum. 2022 Nov;57(6):1472-1477. doi: 10.1111/nuf.12779. Epub 2022 Jul 9.
To report an analysis of the concept of functional dependence among stroke survivors.
Functional dependence among stroke survivors is a focal stimulus that leads to caregiver burden and can be measured and applied to research and theory in different ways depending on the researcher's interpretation of the concept.
A concept analysis was conducted using the method described by Walker and Avant.
A review of the literature was conducted using the CINAHL and PubMed databases. Lay literature, such as the Merriam-Webster dictionary was included.
Through the identification and analysis of definitions and uses of the concept, the defining attributes were found to be (1) inability to perform regular functions and (2) dependence on a caregiver to perform regular functions which form the conceptual and operational definitions. A model, borderline, and the related case of the conceptual definition are provided. One antecedent, two consequences, and four empirical referents are identified, alongside the instruments used to measure the empirical referents.
With functional dependence being so closely tied to caregiver burden, researchers and clinicians should take a dyadic approach to caring for this patient population to ensure both perspectives are considered, and optimal patient outcomes are achieved.
报告对脑卒中幸存者功能依赖概念的分析。
脑卒中幸存者的功能依赖是导致照顾者负担的一个焦点刺激因素，它可以根据研究人员对该概念的解释，以不同的方式进行测量和应用于研究和理论。
使用 Walker 和 Avant 描述的方法进行了概念分析。
使用 CINAHL 和 PubMed 数据库进行了文献回顾。还包括 Merriam-Webster 词典等通俗文献。
通过对概念的定义和用法的识别和分析，确定了定义属性为（1）无法进行常规功能，以及（2）依赖照顾者进行常规功能，这构成了概念和操作定义。提供了一个模型、边界和概念定义的相关案例。确定了一个前因、两个后果和四个经验参照，并确定了用于测量经验参照的工具。
由于功能依赖与照顾者负担密切相关，研究人员和临床医生应该采取双重视角来照顾这一患者群体，以确保考虑到两个方面，并实现最佳的患者结果。
