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以家庭为中心的信息与通信技术支持的中风康复干预(F@ce 2.0)中家庭成员的体验:定性分析

Family Members' Experiences of a Person-Centered Information and Communication Technology-Supported Intervention for Stroke Rehabilitation (F@ce 2.0): Qualitative Analysis.

作者信息

Eriksson Gunilla, Söderhielm Kajsa, Erneby Malin, Guidetti Susanne

机构信息

Division of Occupational Therapy, Neurobiology, Care Sciences and Society, Karolinska Institutet, Alfred Nobels Allé 23, Huddinge, 14183, Sweden, +46 852480000.

Landstinget Sörmland, Nyköping, Sweden.

出版信息

JMIR Rehabil Assist Technol. 2025 May 2;12:e69878. doi: 10.2196/69878.

DOI:10.2196/69878
PMID:40315427
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12064076/
Abstract

BACKGROUND

Stroke often leads to long-term effects on daily activities and participation. Consequences impact not only stroke survivors but also their close networks, and capturing their experiences is crucial for the development of effective interventions. F@ce 2.0 is a person-centered, information and communication technology (ICT)-supported stroke rehabilitation intervention currently being evaluated.

OBJECTIVE

This study aims to describe family members' experiences of the F@ce 2.0 intervention from the perspective of being a caregiver to a stroke survivor.

METHODS

Participants were family members (n=7) of stroke survivors participating in the intervention. Semistructured interviews were conducted at 2 time points, postintervention and 6 months postbaseline, resulting in a total of 13 interviews. Data was analyzed using qualitative inductive content analysis.

RESULTS

An overarching theme was developed from 4 categories. The main theme was the potential of F@ce 2.0 as a support for family members of stroke survivors in the sudden change of life. The categories were: dialogue and partnership with the F@ce 2.0 team, resuming daily activities lowers the demand for family support, support and involvement through the ICT component of F@ce 2.0, and engagement in F@ce 2.0, leading to suggestions for development.

CONCLUSIONS

This study aligns with previous research delineating the effects of stroke on family members of stroke survivors. Participants highlighted the positive impact of the focus on daily activities within the intervention. Furthermore, the ICT component was perceived as a support in structuring rehabilitation. Participants, however, suggested further development, both in terms of content and technology.

摘要

背景

中风常常会对日常活动和参与产生长期影响。其后果不仅影响中风幸存者,还会波及他们的亲密社交圈,了解他们的经历对于制定有效的干预措施至关重要。F@ce 2.0是一项以患者为中心、由信息通信技术(ICT)支持的中风康复干预措施,目前正在进行评估。

目的

本研究旨在从作为中风幸存者照料者的角度描述家庭成员对F@ce 2.0干预措施的体验。

方法

参与者为参与该干预措施的中风幸存者的家庭成员(n = 7)。在干预后和基线后6个月这两个时间点进行了半结构化访谈,共进行了13次访谈。采用定性归纳内容分析法对数据进行分析。

结果

从4个类别中提炼出一个总体主题。主要主题是F@ce 2.0在生活突然变化时对中风幸存者家庭成员的支持潜力。这些类别包括:与F@ce 2.0团队的对话与合作、恢复日常活动降低了对家庭支持的需求、通过F@ce 2.0的ICT组件提供支持和参与,以及参与F@ce 2.0并提出改进建议。

结论

本研究与之前关于中风对中风幸存者家庭成员影响的研究结果一致。参与者强调了干预措施中关注日常活动的积极影响。此外,ICT组件被视为对康复安排的一种支持。然而,参与者建议在内容和技术方面进一步改进。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3360/12064076/74db15428780/rehab-v12-e69878-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3360/12064076/74db15428780/rehab-v12-e69878-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3360/12064076/74db15428780/rehab-v12-e69878-g001.jpg

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本文引用的文献

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Telerehabilitation for Family Caregivers of Stroke Survivors: A Systematic Review and Meta-Analysis.中风幸存者家庭照顾者的远程康复:系统评价与荟萃分析
J Nurs Manag. 2023 Jun 14;2023:3450312. doi: 10.1155/2023/3450312. eCollection 2023.
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Impact of telehealth on stroke survivor-caregiver dyad in at-home rehabilitation: A systematic review.远程医疗对居家康复中卒中幸存者-照顾者对子的影响:系统评价。
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Telehealth in Informal Caregivers of Stroke Survivors: A Systematic Review.
中风幸存者非正式照料者的远程医疗:一项系统综述。
J Clin Med. 2024 Mar 21;13(6):1810. doi: 10.3390/jcm13061810.
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Acceptability of two mobile applications to support cross-sectoral, person-centred and empowering stroke rehabilitation - a process evaluation.两款支持跨部门、以患者为中心且赋能中风康复的移动应用程序的可接受性——一项过程评估
Ann Med. 2024 Dec;56(1):2302979. doi: 10.1080/07853890.2024.2302979. Epub 2024 Mar 11.
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Using experience-based co-design to develop mobile/tablet applications to support a person-centred and empowering stroke rehabilitation.利用基于经验的协同设计来开发移动/平板电脑应用程序,以支持以人为本且具有赋能作用的中风康复。
Res Involv Engagem. 2023 Aug 24;9(1):69. doi: 10.1186/s40900-023-00472-z.
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Interventions for Caregivers of People Who Have Had a Stroke: A Systematic Review.中风患者照顾者的干预措施:一项系统评价
Am J Occup Ther. 2023 Jan 1;77(1). doi: 10.5014/ajot.2023.050012.
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A qualitative evidence synthesis exploring people after stroke, family members, carers and healthcare professionals' experiences of early supported discharge (ESD) after stroke.一项探索中风后患者、家庭成员、照顾者和医疗保健专业人员对中风后早期支持性出院(ESD)体验的定性证据综合研究。
PLoS One. 2023 Feb 13;18(2):e0281583. doi: 10.1371/journal.pone.0281583. eCollection 2023.
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Enhancing the role of the social network in activity (re)engagement post-stroke: a focus group study with rehabilitation professionals.增强社会网络在中风后活动(重新)参与中的作用:一项针对康复专业人员的焦点小组研究。
BMC Prim Care. 2022 Nov 17;23(1):285. doi: 10.1186/s12875-022-01897-3.
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Study protocol of a non-randomised controlled trial evaluating the effectiveness of the F@ce 2.0 programme: a person-centred, ICT-supported and interdisciplinary rehabilitation intervention after stroke.一项非随机对照试验的研究方案,评估 F@ce 2.0 方案在中风后的有效性:一种以人为中心、基于 ICT 的跨学科康复干预。
BMJ Open. 2022 Aug 4;12(8):e058748. doi: 10.1136/bmjopen-2021-058748.
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Use of Mobile/Tablet and Web-Based Applications to Support Rehabilitation After Stroke: A Scoping Review.使用移动/平板电脑和基于网络的应用程序来支持中风后的康复:范围综述。
J Rehabil Med. 2022 Apr 7;54:jrm00269. doi: 10.2340/jrm.v54.452.