中青年脑卒中患者创伤后成长轨迹的纵向质性研究  

Trajectory of post-traumatic growth in young and middle-aged stroke patients:a longitudinal qualitative study

作　　者：刘清玄 张振香[1] 梅永霞[1] 薛利红[2] 安保霞 郭令莹 邢兰玲 Liu Qingxuan;Zhang Zhenxiang;Mei Yongxia;Xue Lihong;An Baoxia;Guo Lingying;Xing Lanling(School of Nursing and Health,Zhengzhou University,Zhengzhou 450001,China)

机构地区：[1]郑州大学护理与健康学院,河南郑州4500014 [2]河南省滑县人民医院

出　　处：《护理学杂志》2021年第21期65-68,共4页Journal of Nursing Science

基　　金：2020年中华护理学会科研项目(ZHKY202024)。

摘　　要：目的了解患者创伤后成长发生发展的具体过程,为创伤后不同阶段心理干预提供实证支持。方法以目的抽样法选择12例中青年脑卒中患者,分别在出院前1 d、出院后3个月、6个月3个时间点进行深度面对面半结构化访谈,运用扎根理论法对访谈资料进行整理分析。结果中青年脑卒中患者创伤后成长轨迹可归纳为破坏与应激、重建与困苦、成长的融合3个阶段;3个阶段并非线性递进关系,而是处于动态演变的情景之中。创伤后成长轨迹有3种类型,分别为持续应激、逐渐成长、成长回落。结论中青年脑卒中患者创伤后成长呈现为非线性递进的3个阶段和3种成长轨迹,医护人员可参照实施针对性干预。Objective To clarify the specific process and development of post-traumatic growth in young and middle-aged stroke patients,and to provide evidence for psychological intervention in different post-stroke stages.Methods Using purposive sampling method,12 young and middle-aged stroke patients were selected to conduct in-depth face-to-face semi-structured interviews at 3 time points(one day before discharge,3 months and 6 months after discharge).The interview data were analyzed by using Strauss and Corbin′s grounded theory.Results There were three different stages in the post-traumatic growth trajectory,namely,destruction and stress,reconstruction and hardship,and integration of growth.However,these three stages weren′t a linear process,but in dynamic evolution.There were three types of post-traumatic growth trajectory:continuous stress,gradual growth,and growth decline.Conclusion Post-traumatic growth in young and middle-aged stroke patients showed a 3-stage non-linear progressive trajectory which could be summarized into 3 types.Medical staff can provide psychological intervention contingent on the feature of patients′post-traumatic growth trajectory.

关 键 词：脑卒中 中青年 创伤后成长 纵向研究 质性研究 扎根理论 

分 类 号：R473.5[医药卫生—护理学] R395.6[医药卫生—临床医学]