脑卒中患者久坐行为改变促进与阻碍因素的质性研究

Qualitative Research on Promoting and Hindering Factors of Sedentary Behavior Change in Stroke Patients

摘要: 目的：深入了解影响脑卒中患者久坐行为改变的促进与阻碍因素，为提高脑卒中患者久坐行为改变的积极性提供依据。方法：采用目的抽样法，选取2024年4月~6月就诊于贵州省某三级甲等医院神经内科的12例脑卒中患者作为访谈对象，对其进行半结构式访谈，采用Colaizzi 7步分析法进行资料分析。结果：脑卒中患者久坐行为改变的促进因素可归纳为家庭支持、同伴支持、良好疾病认知、康复自我效能四个亚主题，阻碍因素可归纳为疾病恐惧、运动障碍、负性情绪、久坐风险认知缺乏四个亚主题。结论：脑卒中患者久坐行为改变的促进与阻碍因素是多维度的，医务人员应该积极探索有效干预措施，减少患者久坐行为，提高患者生活质量。

Abstract: Objective: To deeply understand the promoting and hindering factors of sedentary behavior change in stroke patients, so as to provide a basis for improving the enthusiasm for sedentary behavior change in stroke patients. Method: Using the purposive sampling method, 12 stroke patients who were treated in the neurology department of a tertiary hospital in Guizhou Province from April to June, 2024 were selected as interviewees. Semi-structured interviews were conducted on them, and Colaizzi’s 7-step analysis method was used for data analysis. Results: The promoting factors of sedentary behavior change in stroke patients could be summarized into four sub-themes: family support, peer support, good disease cognition and rehabilitation self-efficacy. The hindering factors could be summarized into four sub-themes: fear of disease, movement disorder, negative emotions and lack of sedentary risk cognition. Conclusions: The promoting and hindering factors of sedentary behavior change in stroke patients are multi-dimensional. Medical staff should actively explore effective intervention measures to reduce sedentary behavior and improve the quality of life of patients.