脑卒中患者健康行为促进与障碍因素的质性研究  

The qualitative study of facilitators and barriers to healthy behavior among stroke patients

作　　者：张孟羽 郭丽娜[2] 郭园丽[2] 杨彩侠[2] 雷小雨 张格格 刘延锦[3] Zhang Mengyu;Guo Lina;Guo Yuanli;Yang Caixia;Lei Xiaoyu;Zhang Gege;Liu Yanjin(School of Nursing and Health,Zhengzhou University,Zhengzhou 450001,China;Department of Neurology,National Advanced Stroke Center,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Department of Nursing,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学护理与健康学院,郑州450001 [2]郑州大学第一附属医院神经内科,国家高级卒中中心,郑州450052 [3]郑州大学第一附属医院护理部,郑州450052

出　　处：《中华行为医学与脑科学杂志》2024年第1期27-31,共5页Chinese Journal of Behavioral Medicine and Brain Science

基　　金：国家自然科学基金(72204225,72274179);河南省医学科技攻关联合共建项目(LHGJ20220429,SBGJ202102076);中国博士后科学基金第73批面上项目(2023M733234)。

摘　　要：目的探讨脑卒中患者健康行为的促进与障碍因素。方法采用目的抽样法,于2022年9月至2023年3月对16例脑卒中患者进行面对面半结构式访谈。根据理论域框架(theoretical domain framework,TDF)设计访谈提纲,运用定向内容分析法和归纳法分析转录的文字资料并从中提炼主题。以TDF作为编码框架,将提炼的主题合并到最相关的域中,根据每个理论域中主题的数量、主题间的关系来确定理论域与脑卒中患者健康行为的对应关系。结果本研究确定了影响脑卒中患者健康行为的9个理论域:知识、技能、动机和目标、社会影响、社会/职业认同、环境与资源、能力信念、结果信念、行为调节。结论脑卒中患者健康行为复杂,受多种因素的影响,本研究所识别出的9个理论域将为今后脑卒中患者健康行为干预方案的制定提供依据。Objective To explore the potential facilitators and barriers to healthy behavior among stroke patients.Methods Semi-structured interviews were conducted among 16 stroke patients from September 2022 to March 2023 using an objective sampling method.The interview guide was developed using the theoretical domain framework(TDF).Interviews were transcribed and refined the theme using directed content and induction analysis.Using the TDF as the initial coding framework,the themes were then merged into the most relevant domains.Finally,the correspondence between theoretical domains and the healthy behavior of stroke patients was determined based on the frequency and relationship between themes.Results This study identified nine theoretical domains that affected the healthy behavior of stroke patients:knowledge,skills,motivation and goals,social influences,social/professional role and identity,environment context and resources,belief about capability,consequence belief and behavioral regulation.Conclusion The healthy behavior of stroke patients is complex and influenced by several factors.The nine theoretical domains identified in this study will provide recommendations for future healthy behavior interventions for stroke patients.

关 键 词：脑卒中 健康行为 质性研究 理论域框架 

分 类 号：R743.3[医药卫生—神经病学与精神病学]