School of Nursing, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong, SAR.
Department of Medicine, St Vincent's Hospital, Sydney, Australia.
Psychol Health Med. 2024 Aug;29(7):1208-1221. doi: 10.1080/13548506.2024.2332925. Epub 2024 Mar 25.
In caring for patients with stroke, the leading cause of death and disability affecting over 80 million people worldwide, caregivers experience substantial psychological and physical burdens and difficulties in help-seeking owing to physical and time-constraints. Social distancing measures imposed during the coronavirus disease 2019 (COVID-19) pandemic further restricted them from using caregiver support services. While the use of telehealth emerged as a global prevailing trend during the COVID-19 pandemic, evidence for utilising instant messaging (IM) applications for psychological intervention is scanty. This study aimed to explore stroke caregivers' perceived potential utility of IM-delivered psychological intervention. Between January and August 2020, 36 adult family stroke caregivers in Hong Kong were recruited to individual telephone semi-structured interviews using purposive sampling. The interviews were audio-recorded, transcribed verbatim and analysed using an interpretive description approach. Three themes of caregivers' perceptions towards IM-delivered psychological intervention emerged: perceived high convenience and ease of use, perceived advantages that overcome existing barriers to services and message delivery tailored to individual needs. Our findings suggested that there is an imminent need among stroke caregivers for personalised psychological interventions and that IM is a potential modality for overcoming existing barriers in delivering accessible support to caregivers in real-time, real-world settings. Our study highlighted caregivers' acceptance and perceived benefits of IM-delivered psychological intervention and provided practical insights into the design of IM-delivered psychological interventions.
在照顾中风患者方面，中风是导致全球 8000 多万人死亡和残疾的主要原因，护理人员由于身体和时间的限制，在寻求帮助时会承受巨大的心理和身体负担，并且面临困难。在 2019 冠状病毒病（COVID-19）大流行期间实施的社交距离措施进一步限制了他们使用护理人员支持服务。虽然在 COVID-19 大流行期间，远程医疗的使用已成为一种全球流行趋势，但即时通讯（IM）应用程序在心理干预方面的使用证据却很少。本研究旨在探讨中风护理人员对 IM 传递心理干预的潜在实用性的看法。在 2020 年 1 月至 8 月期间，香港通过目的性抽样方法，招募了 36 名成年家庭中风护理人员进行个人电话半结构式访谈。访谈进行了录音，逐字转录，并使用解释性描述方法进行了分析。护理人员对 IM 传递心理干预的看法出现了三个主题：认为 IM 非常方便易用、认为 IM 具有克服现有服务障碍的优势以及认为 IM 消息传递可满足个人需求。研究结果表明，中风护理人员迫切需要个性化的心理干预，而 IM 是在现实世界环境中实时为护理人员提供可及支持的潜在手段，可以克服现有障碍。本研究强调了护理人员对 IM 传递心理干预的接受程度和认知益处，并为 IM 传递心理干预的设计提供了实用的见解。
