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康复护士对脑卒中患者开展居家康复护理的质性研究

Qualitative research on barriers and facilitators of home rehabilitation nursing in stroke patients
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摘要 目的探究康复护士对居家康复护理在脑卒中群体中开展的促进和阻碍因素,为居家康复护理的顺利开展提供理论参考。方法描述性质性研究的方法,采用目的性选样法选取济宁某三甲医院的康复护士为访谈对象,进行面对面半结构式深入访谈,数据分析采用传统内容分析法。结果纳入12名康复护士,在阻碍因素方面提炼出3个主题,主题1:安全隐患;主题2:资源短缺;主题3:意识淡薄。促进因素方面提炼出4个主题,主题1:培训考核;主题2:团队协作;主题3:网络平台;主题4:家庭环境改造。结论居家康复护理是目前亟需开展的工作,虽然存在一定障碍,但我们要克服障碍,从促进因素着手,建议相关部门重视并采取相应措施,为居家康复护理工作提供有力保障。 Objective To explore the factors that promote and hinder the development of home rehabilitation nursing of stroke groups by rehabilitation nurses,and provide theoretical reference for home rehabilitation nursing.Methods Using the method of descriptive qualitative research,adopt the purposeful sample selection method to select the rehabilitation nurses of a tertiary hospital in Jining as the interview subjects,conduct face-to-face semi-structured in-depth interviews,and use traditional content analysis methods for data analysis.Results Twelve rehabilitation nurses were included,and 3 themes were extracted in terms of obstacles:Theme 1:Safety hazards;Theme 2:Resource shortage;Theme 3:Weak consciousness.In terms of facilitating factors,four themes were refined:Theme 1:Training and assessment;Theme 2:Teamwork;Theme 3:Network platform;Theme 4:Home environment transformation.Conclusion Home rehabilitation nursing is a work that needs to be carried out urgently.Although there are some obstacles,we must overcome the obstacles and start from the facilitating factors.It is recommended that relevant sectors pay special attention to and take corresponding measures to provide strong guarantee for home rehabilitation nursing.
作者 朱雪娟 申雪花 王海霞 王艳玲 侯艳利 贾媛媛 褚旭 ZHU Xuejuan;SHEN Xuehua;WANG Haixia;WANG Yanling;HOU Yanli;JIA Yuanyuan;CHU Xu(Department of Neurology,Affiliated Hospital of Jining Medical University,Jining 272029,China;School of Nursing and Rehabilitation,Qilu Medical College of Shandong University,Jinan 250012,China)
出处 《济宁医学院学报》 2023年第4期290-293,共4页 Journal of Jining Medical University
基金 济宁市软科学重点研发项目(2022JNZC081)。
关键词 脑卒中 康复护士 居家康复 促进因素 阻碍因素 Stroke Rehabilitation nurses Home rehabilitation Facilitating factors Hindering factors
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