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心脏康复和卒中团队对将卒中幸存者融入适应心脏康复的态度:一项焦点小组研究。

Attitudes of cardiac rehabilitation and stroke teams towards integration of stroke survivors into adapted cardiac rehabilitation: A focus group study.

机构信息

Physiotherapy Department, School of Allied Health Professions and Nursing, University of Liverpool, Liverpool, UK.

Department of Cardiovascular Sciences and NIHR Leicester Biomedical Research Centre, University of Leicester, Leicester, UK.

出版信息

Clin Rehabil. 2024 Sep;38(9):1264-1275. doi: 10.1177/02692155241253476. Epub 2024 May 15.

DOI:10.1177/02692155241253476
PMID:38751105
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11465600/
Abstract

OBJECTIVE

To explore the attitudes and beliefs of cardiac rehabilitation and stroke teams towards adapted cardiac rehabilitation, and the broader topics of exercise, healthy lifestyles and health behaviour change, for people with mild-to-moderate severity stroke in the sub-acute phase of recovery.

DESIGN

Qualitative focus group-based study.

SETTING

Acute and community national health service trusts.

PARTICIPANTS

Stroke and cardiac rehabilitation team members.

INTERVENTION

Adapted cardiac rehabilitation.

MAIN MEASURES

Focus groups. Thematic analysis was applied to the transcribed data.

RESULTS

Overall, 57 health professionals participated in 12 focus groups. Positive impacts for teams and stroke survivors were identified particularly confidence. However, there were negatives, barriers and adaptations identified. In addition, there was a lack of knowledge for cardiac rehabilitation teams in relation to stroke survivors and stroke teams in relation to cardiac rehabilitation, exercise and healthy lifestyles.

CONCLUSIONS

Cardiac rehabilitation and stroke staff attitudes to cardiac rehabilitation for stroke survivors showed a range of benefits, negatives, barriers and adaptations needed. Confidence and knowledge of the cardiac rehabilitation and stroke teams needs to be addressed.

REGISTRATION

ISRCTN65957980.

摘要

目的

探讨心脏康复和卒中团队对适应心脏康复以及更广泛的运动、健康生活方式和健康行为改变主题的态度和信念,以适应处于恢复期亚急性期的轻度至中度严重卒中患者。

设计

基于定性焦点小组的研究。

设置

急性和社区国民保健服务信托。

参与者

卒中与心脏康复团队成员。

干预措施

适应心脏康复。

主要措施

焦点小组。对转录数据进行了主题分析。

结果

共有 57 名卫生专业人员参加了 12 个焦点小组。确定了对团队和卒中幸存者的积极影响,尤其是信心。但是,也发现了一些负面影响、障碍和适应措施。此外,心脏康复团队对卒中幸存者以及卒中团队对心脏康复、运动和健康生活方式的了解有限。

结论

心脏康复和卒中工作人员对卒中幸存者进行心脏康复的态度显示出一系列的益处、负面影响、障碍和适应措施。需要解决心脏康复和卒中团队的信心和知识问题。

注册

ISRCTN65957980。

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本文引用的文献

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Exploring facilitators and barriers to long-term behavior change following health-wellness coaching for stroke prevention: A qualitative study conducted in Auckland, New Zealand.探索新西兰奥克兰地区健康促进教练对预防中风后的长期行为改变的促进因素和障碍:一项定性研究。
Brain Behav. 2023 Jan;13(1):e2671. doi: 10.1002/brb3.2671. Epub 2022 Dec 12.
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Adapted cardiac rehabilitation for people with sub-acute, mild-to-moderate stroke: a mixed methods feasibility study.亚急性、轻至中度中风患者的适应性心脏康复:一项混合方法可行性研究
Physiotherapy. 2022 Jun;115:93-101. doi: 10.1016/j.physio.2021.11.002. Epub 2021 Nov 30.
3
Barriers and Facilitators to Aerobic Exercise Implementation in Stroke Rehabilitation: A Scoping Review.在脑卒中康复中实施有氧运动的障碍和促进因素:范围综述。
J Neurol Phys Ther. 2020 Jul;44(3):179-187. doi: 10.1097/NPT.0000000000000318.
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Risk Factors for Poststroke Shoulder Pain: A Systematic Review and Meta-Analysis.卒中后肩痛的危险因素:系统评价和荟萃分析。
J Stroke Cerebrovasc Dis. 2020 Jun;29(6):104787. doi: 10.1016/j.jstrokecerebrovasdis.2020.104787. Epub 2020 Mar 28.
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Factors influencing implementation of aerobic exercise after stroke: a systematic review.影响脑卒中后有氧运动实施的因素:系统评价。
Disabil Rehabil. 2021 Aug;43(17):2382-2396. doi: 10.1080/09638288.2019.1704075. Epub 2019 Dec 25.
6
Interventions for preventing falls in people after stroke.中风后人群预防跌倒的干预措施。
Cochrane Database Syst Rev. 2019 Oct 1;10(10):CD008728. doi: 10.1002/14651858.CD008728.pub3.
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The prevalence of fatigue after stroke: A systematic review and meta-analysis.卒中后疲劳的患病率:系统评价和荟萃分析。
Int J Stroke. 2016 Dec;11(9):968-977. doi: 10.1177/1747493016669861. Epub 2016 Oct 4.
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Physiotherapists' perspectives on aerobic exercise early after stroke: A preliminary study.物理治疗师对中风后早期有氧运动的看法:一项初步研究。
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Factors Affecting Attendance at an Adapted Cardiac Rehabilitation Exercise Program for Individuals with Mobility Deficits Poststroke.影响中风后行动不便个体参加适应性心脏康复锻炼项目的因素。
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