以质量求发展，以服务铸品牌

护理学报 ›› 2019, Vol. 26 ›› Issue (8): 5-8.doi: 10.16460/j.issn1008-9969.2019.08.005

• 研究生园地 • 上一篇    下一篇

脑卒中偏瘫患者对社会参与概念理解的质性研究

周璇, 周兰姝   

  1. 海军军医大学 护理学院 临床护理教研室,上海 200433
  • 收稿日期:2018-11-25 出版日期:2019-04-25 发布日期:2020-07-14
  • 通讯作者: 周兰姝(1970-),女,江苏镇江人,博士,教授。E-mail:zhoulanshu@hotmail.com
  • 作者简介:周璇(1993-),女,辽宁铁岭人,本科学历,硕士研究生在读。
  • 基金资助:
    上海市科学技术委员会优秀学术带头人计划项目(16XD1403200);海军军医大学2018年优秀硕士研究生苗子培育基金资助项目

Qualitative Study on the concept of Social Participation in Stroke Survivors with Hemiplegia

ZHOU Xuan, ZHOU Lan-shu   

  1. Teaching and Research Office of Clinical Nursing, School of Nursing, the Second Military Medical University, Shanghai 200433, China
  • Received:2018-11-25 Online:2019-04-25 Published:2020-07-14

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摘要： 目的 建构脑卒中偏瘫患者对社会参与概念内涵的理解。方法 2017年9月—2018年6月,采用目的抽样的方法选取上海市某康复医院和某卒中随访门诊的12例脑卒中偏瘫患者为研究对象。采用半结构访谈的方法收集资料并录音,根据Colaizzi分析法对资料进行分析,提炼主题。结果 脑卒中偏瘫患者对社会参与的理解可以归纳为3大主题7个亚主题,主题1:拥有自由之躯,即生活自理、活动自如;主题2:做有意义的事,即承担家庭责任、回到工作岗位、享受美好生活;主题3:与他人互动,即增加与他人的互动、减少与他人的互动。结论 3大主题体现出脑卒中偏瘫患者社会参与的独立性(Independent)、影响性(Influence)和互动性(Interaction),共同构成了社会参与的“3 I”模式。本研究有助于提高医务人员对社会参与的理解,为进一步研发脑卒中患者社会参与特异性测评工具提供理论依据。

关键词: 偏瘫, 脑卒中患者, 社会参与, “3 I”模式, 质性研究

Abstract: Objective To construct the concept of social participation in stroke survivors with hemiplegia. Methods Twelve stroke survivors with hemiplegia in a rehabilitation hospital in Shanghai and a stroke follow-up clinic from September 2017 to June 2018 were selected by using purpose sampling method. Data were collected and recorded using semi-structured interviews, and analyzed through Colaizzi analysis to extract the theme. Results The understanding of social participation in patients with hemiplegia can be summarized into 3 themes and 7 subthemes, namely, having a body of freedom (self-care and freedom of movement), doing meaningful things (assuming family commitments, return to work, and enjoyment of a good life), and interacting with others (increased interaction and reduced interaction). Conclusion The extracted 3 themes of social participation reflect the independence, influence and interaction of stroke patients with hemiplegia, which together constitute the “3 I” model of social participation. This study provides a full understanding for social participation and a theoretical basis for further development of specific instruments of social participation for stroke patients.

Key words: hemiplegia, stroke survivor, social participation, “3 I” model, qualitative research

中图分类号: 

  • R492
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