偏瘫中风患者正确肢体摆放实施的障碍与促进因素：一项定性研究
Barriers and facilitators to implementation of proper limb positioning in hemiplegic stroke patients: a qualitative study.
作者信息
Zhang Xin-Yue, Leng Min-Min, Yang Jia-Wei, Li Shuo-Tao, Li Min, Ji Xiao-Xu, Cui Quan-Qin, Liang Fang, Chen Xia, Yang Li-Juan
机构信息
Shandong First Medical University, Shandong Provincial Hospital, Department of Neurology, Jinan, China.
Shandong First Medical University, Shandong Provincial Hospital, Department of Nursing, Jinan, China.
出版信息
Rev Esc Enferm USP. 2025 Sep 15;59:e20250110. doi: 10.1590/1980-220X-REEUSP-2025-0110en. eCollection 2025.
OBJECTIVE
To identify factors that can be targeted to promote the standardized management of proper limb positioning and improve the rehabilitation outcomes of patient.
METHOD
A qualitative descriptive study was conducted using semi-structured face-to-face in-depth interviews with 24 clinical nurses working in stroke-related departments between April and May 2024. Based on the COM-B model, the data were analyzed by employing the deductive content analysis method using the NVivo12 software and manual coding.
RESULTS
Analysis revealed 11 themes and 22 sub-themes associated with the four domains of the COM-B model, including 15 barriers and 7 facilitators.
CONCLUSION
Clinical nurses' adherence to proper limb positioning is dynamic and positioning should address barriers related to capability, opportunity, and motivation, such as prioritize knowledge and skills training for clinical nurses, improved compliance among patients and caregivers, establish robust systems and supervisory mechanisms, and support scientific research and innovation to explore intelligent management solutions.
目的
确定可作为促进正确肢体摆放标准化管理及改善患者康复结局目标的因素。
方法
于2024年4月至5月，对24名在卒中相关科室工作的临床护士进行半结构化面对面深入访谈，开展一项定性描述性研究。基于COM-B模型，使用NVivo12软件和手工编码，采用演绎性内容分析法对数据进行分析。
结果
分析揭示了与COM-B模型四个领域相关的11个主题和22个子主题，包括15个障碍因素和7个促进因素。
结论
临床护士对正确肢体摆放的依从性具有动态性，并且肢体摆放应解决与能力、机会和动机相关的障碍，如优先对临床护士进行知识和技能培训、提高患者及护理人员的依从性、建立健全的系统和监督机制，以及支持科研与创新以探索智能管理解决方案。
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