Nooreddini Ahmad, Sadeghian Efat, Borzou Seyed Reza, Ghiasian Masoud, Sotanian Alireza
Student Research Committee, Hamadan University of Medical Sciences, Hamadan, Iran.
Chronic Diseases (Home Care) Research Center, Institute of Cancer, Hamadan University of Medical Sciences, Hamadan, Iran.
Iran J Nurs Midwifery Res. 2025 Jul 24;30(4):561-571. doi: 10.4103/ijnmr.ijnmr_106_24. eCollection 2025 Jul-Aug.
Resilience in stroke family caregivers is one of their most essential abilities to effectively adapt to complicated caregiving conditions. The present study was conducted to understand the family caregiver's perception of resilience in caring for stroke patients.
This qualitative content analysis study was done in Besat Hospital of Hamadan, Iran in 2023. Participants were selected through purposive sampling, resulting in 22 face-to-face interviews with 15 caregivers. Data saturation was ensured by conducting additional interviews with three more participants. The interviews, lasting an average of 45 minutes, were conducted in the examination room of the hospital's neurology ward. Data analysis was carried out using the Granheim and Landman approach. MAXQDA 10 software was utilized for data management.
Following qualitative data analysis, 85 primary codes, 17 subcategories, and six overarching categories were identified: cognitive self-care, spiritual self-care, physical health, reinforcement of social relationships, seeking help from others, and meeting the patient's needs. Three main themes emerged: managing stress, adopting a healthy lifestyle, and addressing the patient's challenges.
The study revealed that family caregivers of stroke patients perceive resilience through coping with stress, maintaining a healthy lifestyle, and addressing the patient's problems. These caregivers often struggle with the overwhelming responsibilities of caring for incapacitated patients, which can impact their resilience. The study's insights can be valuable for health policymakers and practitioners in improving training programs to support caregivers of chronic patients. To enrich the data, interviews were conducted with experts such as nurses, doctors, and family members of patients.
中风患者家庭照顾者的心理韧性是他们有效适应复杂照顾状况的最重要能力之一。本研究旨在了解家庭照顾者对照顾中风患者时心理韧性的认知。
这项定性内容分析研究于2023年在伊朗哈马丹的贝萨特医院进行。通过目的抽样选择参与者，对15名照顾者进行了22次面对面访谈。通过对另外三名参与者进行额外访谈确保了数据饱和。访谈平均持续45分钟，在医院神经科病房的检查室进行。使用格兰海姆和兰德曼方法进行数据分析。利用MAXQDA 10软件进行数据管理。
经过定性数据分析，确定了85个初级代码、17个子类别和6个总体类别：认知自我照顾、精神自我照顾、身体健康、加强社会关系、向他人求助以及满足患者需求。出现了三个主要主题：管理压力、采用健康的生活方式以及应对患者的挑战。
该研究表明，中风患者的家庭照顾者通过应对压力、保持健康的生活方式以及解决患者的问题来感知心理韧性。这些照顾者经常在照顾无行为能力患者的繁重责任中挣扎，这可能会影响他们的心理韧性。该研究的见解对于卫生政策制定者和从业者改进支持慢性病患者照顾者的培训项目可能具有重要价值。为了丰富数据，还对护士、医生和患者家属等专家进行了访谈。
