脑卒中后吞咽障碍患者“互联网+延续护理”实施障碍的质性研究  

Barriers to implementation of Internet Plus continuing care for patients with post-stroke dysphagia:a qualitative study

作　　者：廖琳 项丽君 曹猛 陈坚 崔艳丽 赵鹏[1,2] 陈建辉 张晓梅[1] Liao Lin;Xiang Lijun;Cao Meng;Chen Jian;Cui Yanli;Zhao Peng;Chen Jianhui;Zhang Xiaomei(Department of Neurology,Nanfang Hospital,Southern Medical University,Guangzhou 510515,China)

机构地区：[1]南方医科大学南方医院神经内科,广东广州510515 [2]南方医科大学护理学院,广东广州510515 [3]南方医科大学南方医院风湿免疫科,广东广州510515

出　　处：《护理学杂志》2024年第3期14-17,共4页Journal of Nursing Science

基　　金：广东省基础与应用基础研究自然科学基金项目(2022A1515012184)。

摘　　要：目的了解脑卒中后吞咽障碍患者“互联网+延续护理”实施障碍因素,为针对性干预提供参考。方法以理论域框架为指导制定访谈提纲,对25名医护技人员进行半结构式访谈,运用主题分析法分析资料、提炼主题(障碍因素)。结果提炼出医护技人员缺乏劳动价值获得感、缺乏自我效能感,患者吞咽障碍康复行为欠佳等14个主题(障碍因素),分别归属为社会/职业角色和身份,能力信念,记忆、注意力与决策过程,环境与资源以及社会影响5个理论域。结论脑卒中后吞咽障碍患者“互联网+延续护理”实施的障碍因素较多,应针对障碍因素进行干预,创造有利条件为患者提供持续的高品质康复护理。Objective To identify the barriers to implementation of Internet Plus continuing care for patients with post-stroke dysphagia(PSD),and to provide a reference for targeted interventions.Methods An interview outline was created based on the theoretical domains framework,then semi-structured interviews were conducted among 25 healthcare professionals.Thematic analysis was utilized to analyze the data and identify the themes.Results A total of 14 themes(barriers)were identified,including lack of a sense of labor value and self-efficacy among healthcare professionals,as well as poor adherence to rehabilitation training among patients,etc.These barriers were categorized into five theoretical domains:social/professional role and identity,beliefs about capabilities,memory,attention and decision processes,environmental context and resources,and social influences.Conclusion There are many barriers to the implementation of Internet Plus continuing care to PSD patients.Interventions should be targeted at these barriers to provide patients with sustained high-quality rehabilitation care.

关 键 词：脑卒中 吞咽障碍 互联网+ 延续护理 实施障碍 理论域框架 康复护理 质性研究 

分 类 号：R473.74[医药卫生—护理学] TP393[医药卫生—临床医学]