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脑卒中后疲劳在医护人员中的认知:一项定性访谈研究。

Perceptions of Post-Stroke Fatigue among Health Care Practitioners: A Qualitative Interview Study.

机构信息

Department of Rehabilitation Sciences, College of Health and Rehabilitation Sciences, Princess Nourah bint Abdulrahman University, P.O. Box 84428, Riyadh 11671, Saudi Arabia.

Department of Health and Rehabilitation Sciences, College of Applied Medical Sciences, Prince Sattam bin Abdulaziz University, P.O. Box 84428, Alkharj 11671, Saudi Arabia.

出版信息

Medicina (Kaunas). 2023 Dec 11;59(12):2146. doi: 10.3390/medicina59122146.

DOI:10.3390/medicina59122146
PMID:38138249
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10744614/
Abstract

: Post-Stroke Fatigue (PSF) is a complex, multidimensional, debilitating condition that affects almost half of all stroke survivors. This study explored the perceptions of physiatrists, physiotherapists, and occupational therapists about PSF and their experiences in managing patients with PSF in Saudi Arabia. : Qualitative semi-structured interviews were conducted with participants from three different groups: eight physiotherapists (PTs), eight occupational therapists (OTs), and eight physiatrists (DRs). Using purposive sampling, participants with at least one year of experience in the field of PSF management were invited to take part. The data were analysed using inductive thematic analysis. Twenty-four health care participants (eight PTs, eight OTs, eight DRs) were recruited. Five overarching themes encompassing various subthemes and sub-subthemes were generated: 'knowledge about post-stroke fatigue', 'diagnosing post-stroke fatigue', 'treatment approach', 'lack of awareness about post-stroke fatigue', and 'domains to improve'. The data indicated that participants used various strategies to manage PSF, including dietary changes, sleep hygiene, exercise, and energy conservation. : Participants acknowledged that they lacked PSF-related management skills, despite possessing adequate knowledge about the management of stroke. Their openness to participating in activities that would improve their ability to diagnose and manage PSF was particularly striking.

摘要

: 卒中后疲劳(PSF)是一种复杂的、多维的、使人虚弱的疾病,几乎影响了所有卒中幸存者的一半。本研究探讨了沙特阿拉伯的物理治疗师、物理治疗师和职业治疗师对 PSF 的看法,以及他们在管理 PSF 患者方面的经验。: 采用定性半结构式访谈,参与者来自三个不同的群体:8 名物理治疗师(PTs)、8 名职业治疗师(OTs)和 8 名物理治疗师(DRs)。采用目的性抽样,邀请至少有一年 PSF 管理经验的参与者参加。使用归纳主题分析对数据进行分析。: 共招募了 24 名医疗保健参与者(8 名 PTs、8 名 OTs、8 名 DRs)。生成了五个涵盖各种子主题和子子主题的总体主题:“卒中后疲劳知识”、“卒中后疲劳诊断”、“治疗方法”、“卒中后疲劳意识缺乏”和“需要改进的领域”。数据表明,参与者使用了各种策略来管理 PSF,包括饮食改变、睡眠卫生、运动和能量节约。: 参与者承认,尽管他们对卒中管理有足够的了解,但他们缺乏 PSF 相关的管理技能。他们对参与能够提高他们诊断和管理 PSF 能力的活动持开放态度,这一点尤为引人注目。

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本文引用的文献

1
Exploring experiences of people with stroke and health professionals on post-stroke fatigue guidance: .探索脑卒中患者和健康专业人员对脑卒中后疲劳指导的体验: 。
Disabil Rehabil. 2024 Sep;46(19):4439-4447. doi: 10.1080/09638288.2023.2277398. Epub 2023 Nov 10.
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Neurorehabil Neural Repair. 2024 Jan;38(1):7-18. doi: 10.1177/15459683231209170. Epub 2023 Oct 14.
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How do stroke survivors and their caregivers manage post-stroke fatigue? A qualitative study.中风幸存者及其照护者如何应对中风后疲劳?一项定性研究。
Clin Rehabil. 2022 Oct;36(10):1400-1410. doi: 10.1177/02692155221107738. Epub 2022 Jun 30.
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Development and Internal Validation of a Nomogram to Predict Post-Stroke Fatigue After Discharge.出院后卒中后疲劳预测列线图的建立与内部验证。
J Stroke Cerebrovasc Dis. 2021 Feb;30(2):105484. doi: 10.1016/j.jstrokecerebrovasdis.2020.105484. Epub 2020 Nov 27.
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Post-stroke fatigue: a scoping review.脑卒中后疲劳:范围综述。
F1000Res. 2020 Apr 7;9:242. doi: 10.12688/f1000research.22880.2. eCollection 2020.
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Non-Pharmacological Interventions for Post-Stroke Fatigue: Systematic Review and Network Meta-Analysis.中风后疲劳的非药物干预措施:系统评价与网状Meta分析
J Clin Med. 2020 Feb 25;9(3):621. doi: 10.3390/jcm9030621.
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Conceptualising post-stroke fatigue: a cross-sectional survey of UK-based physiotherapists and occupational therapists.概念化脑卒中后疲劳:基于英国物理治疗师和职业治疗师的横断面调查。
BMJ Open. 2019 Dec 10;9(12):e033066. doi: 10.1136/bmjopen-2019-033066.
8
Investigating post-stroke fatigue: An individual participant data meta-analysis.调查卒中后疲劳:一项个体参与者数据荟萃分析。
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9
Interventions for post-stroke fatigue: A Cochrane review summary.中风后疲劳的干预措施:Cochrane系统评价总结
Int J Nurs Stud. 2018 Sep;85:136-137. doi: 10.1016/j.ijnurstu.2017.11.006. Epub 2017 Nov 21.
10
Poststroke Fatigue: Emerging Evidence and Approaches to Management: A Scientific Statement for Healthcare Professionals From the American Heart Association.中风后疲劳:新兴证据和管理方法:美国心脏协会医疗保健专业人员的科学声明。
Stroke. 2017 Jul;48(7):e159-e170. doi: 10.1161/STR.0000000000000132. Epub 2017 May 25.