Department of Occupational Therapy, Tokyo Bay Rehabilitation Hospital, Narashino, Chiba, Japan.
Department of Occupational Therapy, Teikyo Heisei University, Toshima, Tokyo, Japan.
PLoS One. 2024 Aug 26;19(8):e0309457. doi: 10.1371/journal.pone.0309457. eCollection 2024.
This study aimed to explore the stressors experienced by older patients with stroke in convalescent rehabilitation wards in Japan. Semi-structured interviews were conducted with four stroke patients aged > 65 years who experienced a stroke for the first time in their lives. The interviews were analyzed using the Steps for Coding and Theorization method for qualitative data analysis. The results of the qualitative analysis demonstrated that patients experienced specific stressors, such as, difficulty in movement of the paralyzed hand, fear of stroke recurrence, and dietary problems. Some stressors were manageable through healthcare professionals' active and sensitive communication strategies. These stressors were derived from the theoretical framework of "stressors related to hospitalization" and "stressors related to the illness". Additional stressors emerged from the interaction between these two types within the theoretical framework. The results of this study contribute to a deeper understanding of the specific stressors experienced by older stroke patients during the recovery process.
本研究旨在探讨日本康复病房中老年脑卒中患者所经历的压力源。我们对 4 名首次经历脑卒中的 > 65 岁老年脑卒中患者进行了半结构化访谈。使用编码和理论化步骤对定性数据分析方法对访谈进行了分析。定性分析的结果表明，患者经历了特定的压力源，例如瘫痪手的运动困难、对中风复发的恐惧和饮食问题。一些压力源可以通过医护人员积极和敏感的沟通策略来管理。这些压力源源于“与住院相关的压力源”和“与疾病相关的压力源”理论框架。此外，还从理论框架中这两种类型之间的相互作用中产生了其他压力源。本研究的结果有助于更深入地了解老年脑卒中患者在康复过程中所经历的特定压力源。
