脑卒中患者机器人辅助步态训练体验的质性研究  

Robot-assisted Gait Training Experience in Stroke Patients:A Qualitative Research

作　　者：王开 金爱萍[2] 李燕 杨晓培 费文玲 于晓丽 孟桂林 朱晓萍[1] WANG Kai;JIN Aiping;LI Yan;YANG Xiaopei;FEI Wenling;YU Xiaoli;MENG Guilin;ZHU Xiaoping(Department of Nursing,The 10th People’s Hospital Affiliated to Tongji University,Shanghai 200072,China;Department of Neurology,The 10th People’s Hospital Affiliated to Tongji University)

机构地区：[1]同济大学附属第十人民医院护理部,上海200072 [2]同济大学附属第十人民医院神经内科

出　　处：《军事护理》2023年第2期15-19,共5页MILITARY NURSING

基　　金：国家自然科学基金面上项目(72074168);上海市2020年度“科技创新行动计划”项目(20142202900)。

摘　　要：目的 了解脑卒中患者机器人辅助步态训练应用体验,为制定相关护理方案提供参考。方法 采用描述性质性研究方法,以目的抽样法选取2021年6月至2022年3月上海市某综合性医院神经内科康复中心治疗的脑卒中肢体功能障碍患者12例进行半结构式访谈,根据Colaizzi现象学分析法对资料整理分析。结果 训练体验可归纳为4个主题和8个亚主题,即认可辅助康复效果;辅助康复的积极体验(增加康复积极性、积极反馈促进自我成就感提升);辅助康复的消极体验(体验新鲜事物的畏惧感、训练未达预期导致的挫败感、康复训练中的生理不适感);机器人辅助康复训练的需求(延续性康复训练的需求、对减轻经济负担的需求)。结论 机器人辅助步态训练整体呈现较好康复效果和体验,但仍存在问题和诉求。医护人员应根据其需求,探寻应对策略,完善机器人康复护理体系。Objective To investigate the experience of robot-assisted gait training experience in stroke patients.Methods A total of 12 stroke patients with limb dysfunction in a Rehabilitation Center of the Department of Neurology of a general hospital in Shanghai were selected from June 2021 to March 2022 by the purposive sampling method for a semi-structured interview.The interview data were analyzed according to Colaizzi phenomenological analysis method.Results The assisted rehabilitation experience could be divided into 4 themes and 8 sub-themes, which were: recognition of the effect, positive experience(increase of the enthusiasm of rehabilitation, positive feedback promotion of self-accomplishment),negative experience(fear of experiencing new things, frustration caused by limited rehabilitation, physical discomfort in rehabilitation training),the need(the need for continuity of rehabilitation training, the need for reducing the economic burden).Conclusions Robot-assisted gait training for stroke patients presents good rehabilitation effect and experience, but there are still many problems and demands in the rehabilitation process.Medical staff should explore coping strategies according to the needs of patients, and improve the robot rehabilitation nursing system.

关 键 词：脑卒中 康复 机器人辅助步态训练 体验 质性研究 

分 类 号：R473.74[医药卫生—护理学]