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中风幸存者的睡眠体验:一项诠释现象学研究。

Stroke Survivors' Experiences of Sleep: A Hermeneutic Phenomenological Study.

作者信息

Westh Ida Kathrine, Moeller Louise Abildgaard, Otto Marit, Dreyer Pia, Andersen Grethe, Mortensen Janne Kaergaard

机构信息

Department of Neurology, Aarhus University Hospital, Aarhus, Denmark.

Department of Public Health, Aarhus University, Aarhus, Denmark.

出版信息

Nurs Res Pract. 2025 Aug 8;2025:1399026. doi: 10.1155/nrp/1399026. eCollection 2025.

DOI:10.1155/nrp/1399026
PMID:40823262
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12356669/
Abstract

To gain new insights into the lived experience of poststroke sleep. Qualitative interview study. The study was based on a phenomenological-hermeneutic approach inspired by the French Philosopher Paul Ricoeur. Fifteen participants were included between 2021 and 2022 and interviewed 3 months after stroke. Interviews were interpreted through naïve reading and structurally analyzed. Credibility was enhanced by investigator triangulation, and field notes were used for reflections during the interpretation process to challenge preconceptions. The participants experienced changes in sleep and described a fear of lying awake at night. They described a lack of energy and a heavy body and mind as well as an overwhelming sleepiness during daytime. Three themes were identified through the analyses: "Floating through the night-a mental state of mind being between awake and asleep," "Left with a heavy and slow feeling-poor sleep leads to a lack of energy," and "Sleeping during daytime may happen like lightning from a clear sky." The participants experienced frequent and substantial changes in sleep which affected their everyday lives in various ways.

摘要

为了深入了解中风后睡眠的实际体验。定性访谈研究。该研究基于受法国哲学家保罗·利科启发的现象学-诠释学方法。2021年至2022年期间纳入了15名参与者,并在中风后3个月进行了访谈。通过朴素阅读对访谈进行解读并进行结构分析。通过研究者三角验证提高了可信度,在解读过程中使用实地笔记进行反思以挑战先入之见。参与者经历了睡眠变化,并描述了对夜间清醒的恐惧。他们描述了缺乏精力、身心沉重以及白天极度困倦的情况。通过分析确定了三个主题:“夜间飘浮——一种介于清醒和睡眠之间的精神状态”、“留下沉重和迟缓的感觉——睡眠不佳导致缺乏精力”以及“白天可能会像晴空霹雳一样入睡”。参与者经历了频繁且显著的睡眠变化,这些变化以各种方式影响了他们的日常生活。

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本文引用的文献

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Sleep and Stroke: Opening Our Eyes to Current Knowledge of a Key Relationship.睡眠与中风:开启我们对这一关键关系的现有认知。
Curr Neurol Neurosci Rep. 2022 Nov;22(11):767-779. doi: 10.1007/s11910-022-01234-2. Epub 2022 Oct 3.
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Stroke: What's Sleep Got to Do With It?中风:睡眠与之有何关系?
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Sleep-wake disturbances in supra-and infratentorial stroke: an analysis of post-acute sleep architecture and apnea.幕上和幕下卒中的睡眠-觉醒障碍:对急性后期睡眠结构和呼吸暂停的分析。
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Purposive sampling: complex or simple? Research case examples.立意抽样:复杂还是简单?研究案例
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Sleep Disorders in Stroke: An Update on Management.中风中的睡眠障碍:管理的最新进展
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Stroke impact symptoms are associated with sleep-related impairment.中风影响症状与睡眠相关障碍有关。
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Severely Disturbed Sleep in Patients With Acute Ischemic Stroke on Stroke Units: A Pilot Study.卒中单元中急性缺血性卒中患者的严重睡眠障碍:一项初步研究。
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Objective and subjective sleep problems and quality of life of rehabilitation in patients with mild to moderate stroke.轻度至中度中风患者的客观和主观睡眠问题及康复生活质量
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