林郁芬,李铮,施娟,周月秀.脑卒中患者偏瘫肩痛症状的质性研究[J].上海护理,2019,19(1):
脑卒中患者偏瘫肩痛症状的质性研究
A qualitative study on symptom of hemiplegic shoulder pain in stroke patients
DOI:
中文关键词:  脑卒中  偏瘫肩痛  症状  质性研究
英文关键词:stroke  hemiplegic shoulder pain  symptom  qualitative study
基金项目:复旦大学护理科研基金
作者单位E-mail
林郁芬 复旦大学护理学院 yflin14@fudan.edu.cn 
李铮* 复旦大学护理学院 LeeZ@fudan.edu.cn 
施娟 上海市阳光康复中心护理部  
周月秀 上海市阳光康复中心护理部  
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中文摘要:
      [目的] 探索脑卒中患者偏瘫肩痛症状的真实体验、影响因素及症状结局。[方法] 采用描述性质性研究法对16例脑卒中后偏瘫肩痛患者进行半结构式访谈,并以Colaizzi七步分析法分析资料。[结果] 研究提炼出四大主题。患者对于偏瘫肩痛的认识不足,偏瘫肩痛症状体验呈多样性,偏瘫肩痛影响因素复,偏瘫肩痛后果严重。[结论] 脑卒中患者对偏瘫肩痛症状认识片面、对症状的关注普遍缺乏,医务人员进行症状管理时应避免偏瘫肩痛诱因和加重因素,及时提供信息支持和积极处理,并提高患者症状的自我管理能力。
英文摘要:
      Objective: To explore the experience, influencing factors and symptom outcomes in stroke patients with hemiplegic shoulder pain (HSP). Methods: 16 stroke patients with HSP were participated in a semi-structured interview using descriptive qualitative method and Colaizzi’s data analysis. Results: Four themes were categorized: weak awareness on symptom of HSP, multiple experience of HSP, complex factors influencing HSPand detrimental outcomes of HSP. Conclusion: Patients had little awareness and limited understanding of HSP. The healthcare providers should focus on the influencing factors and avoid the aggravating factors of HSP. It’s also necessary for them to provide informative support and effective interventions to improve self-manage abilities in HSP patients .
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