摘要
目的:通过不同地区护理人员对脑卒中高危气象因素的认知和体验,探究基于气象的影响因素及应对策略,为形成规范的基于气象的脑卒中高危人群预防管理方案提供借鉴。方法:2023年2月—4月,采用目的抽样法选取兰州市、西安市、沈阳市、锦州市、长春市、南京市、苏州市、广州市、东莞市9个城市三级甲等医院的15名护理人员,采用质性研究的主题分析法进行深度访谈,采用Colaizzi 7步法分析访谈资料。结果:共提炼了两大主题:气象因素对脑卒中发病影响的认知和体验(气温对脑卒中发病影响的认知、季节对脑卒中发病影响的体验、气压对脑卒中发病影响的认知、湿度对脑卒中发病影响的认知);基于气象因素对脑卒中发病的管理策略(居家生活相关的管理策略、家庭支持相关的管理策略、信息支持相关的管理策略、健康教育相关的管理策略、用药指导相关的管理策略)。结论:气象因素与脑卒中关系密切,气象因素改变会导致机体出现微妙的变化进而诱发脑卒中。预防脑卒中的发病,应注意脑卒中发病与气象因素的关系,根据气象因素对脑卒中高危人群进行健康管理。
Objective:To explore the meteorological-based influencing factors and coping strategies for the prevention and management of high-risk stroke populations through the cognition and experience of nursing staff in different regions on meteorological factors at high risk of stroke.Methods:From February to April 2023,15 nursing staff from tertiary hospitals in Lanzhou,Xi'an,Shenyang,Jinzhou,Changchun,Nanjing,Suzhou,Guangzhou,Dongguan were selected using purposive sampling.In-depth interviews were conducted using the thematic analysis method of qualitative research,and the Colaizzi 7‐step method was used to analyze the interview data.Results:Two major themes were extracted:1)cognition and experience of the impact of meteorological factors on stroke onset,including cognition of the impact of temperature,season,air pressure,and humidity on stroke onset;and 2)management strategies for stroke onset based on meteorological factors,including management strategies related to home life,family support,information support,health education,and medication guidance.Conclusion:Meteorological factors are closely related to stroke.Changes in meteorological factors can cause subtle changes in the body and induce stroke.To prevent the onset of stroke,attention should be paid to the relationship between stroke onset and meteorological factors and a health management plan for high-risk stroke populations based on meteorological factors should be developed.
作者
曹祥
孟维钰
文稀
李惠玲
CAO Xiang;MENG Weiyu;WEN Xi;LI Huiling(School of Nursing,Soochow Medical College,Soochow University,Jiangsu 215000 China)
出处
《护理研究》
北大核心
2024年第5期775-780,共6页
Chinese Nursing Research
基金
国家社会科学基金重大项目,编号:21&ZD188。
关键词
脑卒中
影响因素
高危气象因素
认知
体验
不同地区
健康教育
stroke
influencing factors
high risk meteorological factors
cognition
experience
different regions
health education
