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预防中风再入院的感知需求:一项从中风患者和医护人员角度开展的定性研究

Perceived need to prevent stroke readmission: A qualitative study from the perspective of stroke patients and healthcare professionals.

作者信息

Rajabpour Mohammad, Ghandehari Kavian, Mirhaghi Amir

机构信息

Student Research Committee, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.

Department of Neurology, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.

出版信息

J Educ Health Promot. 2025 Aug 29;14:335. doi: 10.4103/jehp.jehp_854_24. eCollection 2025.

DOI:10.4103/jehp.jehp_854_24
PMID:40979314
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12448509/
Abstract

BACKGROUND

Stroke readmission poses a significant challenge for both stroke patients (SPs) and healthcare professionals (HCPs). Gaining a comprehensive understanding of the factors influencing stroke readmission is crucial in empowering individuals to leverage supportive resources. This study aimed to explore the perceptions of HCPs and SPs regarding the modifiable factors influencing stroke readmission.

MATERIALS AND METHOD

This qualitative study employed in-depth, semi-structured interviews with 30 participants selected through purposeful sampling from October 2023 to January 2024. An interview guide featuring open-ended questions about stroke readmission experiences was utilized for data collection. The interviews were continued until data saturation was achieved. All interviews were recorded, transcribed, and subjected to directed content analysis.

RESULTS

The modifiable factors influencing stroke readmission were categorized into five generic categories: (1) knowledge deficit about the disease, (2) self-forgetfulness physical care, (3) food swamp, (4) high-risk behaviors, and (5) psychological distress.

CONCLUSION

According to the results of this study, by identifying the modifiable risk factors associated with stroke readmission, health stakeholders can design comprehensive preventive educational programs to address these needs.

摘要

背景

中风再入院对中风患者(SPs)和医疗保健专业人员(HCPs)来说都是一项重大挑战。全面了解影响中风再入院的因素对于使个人能够利用支持性资源至关重要。本研究旨在探讨医疗保健专业人员和中风患者对影响中风再入院的可改变因素的看法。

材料与方法

本定性研究于2023年10月至2024年1月通过目的抽样选取30名参与者进行深入的半结构化访谈。使用一份包含关于中风再入院经历的开放式问题的访谈指南进行数据收集。访谈持续进行直至达到数据饱和。所有访谈均进行录音、转录并进行定向内容分析。

结果

影响中风再入院的可改变因素分为五个一般类别:(1)对疾病的知识缺乏,(2)自我遗忘身体护理,(3)食物困境,(4)高危行为,以及(5)心理困扰。

结论

根据本研究结果,通过识别与中风再入院相关的可改变风险因素,卫生利益相关者可以设计全面的预防性教育项目来满足这些需求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb1e/12448509/6bf5fbe32897/JEHP-14-335-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb1e/12448509/6bf5fbe32897/JEHP-14-335-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb1e/12448509/6bf5fbe32897/JEHP-14-335-g001.jpg

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