| 刘永香,严璐,罗世芬,田楠,程联凤,张沙沙.基于Schmitt战略体验模块理论的康复期脑卒中偏瘫患者运动恐惧体验的质性研究[J].上海护理,2026,26(1): |
| 基于Schmitt战略体验模块理论的康复期脑卒中偏瘫患者运动恐惧体验的质性研究 |
| Qualitative Study on Kinesiophobia Experience in Hemiplegic Stroke Patients During Rehabilitation Based on Schmitt's Strategic Experiential Modules Theory |
| 投稿时间：2025-04-26 修订日期：2026-01-08 |
| DOI： |
| 中文关键词: 脑卒中 偏瘫 运动恐惧 Schmitt战略体验模块理论 体验 质性研究 |
| 英文关键词:stroke hemiplegia kinesiophobia schmitt's strategic experiential modules Theory lived Experience qualitative research |
| 基金项目:1.项目层级:贵州省卫生健康委科学技术基金,项目编号:gzwkj2022-487。2.项目层级:贵州省2024年研究生科研基金,项目编号:2024YJSKYJJ369。 |
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| 中文摘要: |
| 目的：基于Schmitt战略体验模块理论探讨康复期脑卒中偏瘫患者对运动恐惧的内心体验。方法：采用目的抽样法选取2024年11月~12月就诊于贵阳市某三级甲等医院针灸康复科住院的14名康复期脑卒中偏瘫运动恐惧症患者进行半结构式访谈，并采用Colaizzi七步分析法对访谈资料进行分析、归纳和提炼主题。结果：康复期脑卒中偏瘫运动恐惧症患者内心体验可总结为4个核心主题：感官体验（自我意识难以控制肢体活动、对疼痛过度警觉、生活自理能力明显受限）、情感体验（回避疾病带来的病耻感、高期待值致患者心理负担重）、思考体验（对康复运动相关认知困惑、缺乏安全的康复支持、难以获得连续且一致的治疗方案）、行动体验（消极对待康复运动、接受并努力克服内心恐惧）。结论：医务工作者应重视患者的运动恐惧心理，协同社会及医疗支持系统，通过提供个性化康复方案、加强患者教育、建立连续治疗方案及引入心理干预，以减轻患者恐惧，促进其早日康复。 |
| 英文摘要: |
| Objective:?To explore the inner experiences of kinesiophobia in hemiplegic stroke patients during rehabilitation based on Schmitt's Strategic Experiential Modules theory.Methods:?Using purposive sampling, 14 hemiplegic stroke patients with kinesiophobia admitted to the rehabilitation department of a tertiary hospital in Guiyang from November to December 2024 were selected for semi-structured interviews. The interview data were analyzed, summarized, and themed using Colaizzi's seven-step analysis method.Results:?The inner experiences of these patients were summarized into four core themes:Sensory experiences (loss of limb control, heightened pain sensitivity, significant limitations in daily activities).Emotional experiences (avoidance due to disease-related stigma, psychological burden from high expectations).Cognitive experiences (confusion about rehabilitation exercises, lack of safe rehabilitation support, difficulty accessing consistent treatment plans).Behavioral experiences (passive attitude toward rehabilitation, efforts to overcome fear).Conclusion: Healthcare professionals should address patients' kinesiophobia by collaborating with social and medical support systems. Providing personalized rehabilitation plans, enhancing patient education, ensuring consistent treatment, and incorporating psychological interventions can help alleviate fear and promote recovery. |
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