老年脑卒中患者生活空间受限影响因素的质性研究
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女,硕士在读,学生

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科研项目:2024年度十堰市引导性科研项目(24Y007);2025年度湖北医药学院卫生管理与卫生事业发展研究中心开放基金项目(2025ZD004);湖北医药学院2024年大学生创新训练计划项目(X202410929059)


A qualitative study on factors influencing life-space restriction in older stroke patients
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    目的 探讨老年脑卒中患者生活空间受限的影响因素,为制订个性化康复干预措施提供依据。 方法 采用描述性质性研究方法,通过目的抽样法选取15例老年脑卒中患者作为访谈对象。基于老年人生活空间圆锥模型设计访谈提纲,并进行半结构式访谈。采用主题分析法进行资料分析。 结果 提炼出影响老年脑卒中患者生活空间受限的因素,包括认知、心理、身体、社会环境、经济因素5个主题及12个亚主题。 结论 老年脑卒中患者生活空间受限的影响因素复杂多样,医护人员应及早识别老年脑卒中患者生活空间受限的危险因素,制订多维度个性化干预策略,助力脑卒中患者拓展生活空间,提升其生活质量与社会参与水平。

    Abstract:

    Objective To identify factors associated with life-space restriction in older stroke patients and to provide references for formulating personalized intervention measures. Methods A descriptive qualitative research was conducted.Fifteen older stroke patients were selected using purposive sampling.An interview outline was designed based on the Webber′s Comprehensive Mobility Framework, and semi-structured interviews were conducted.Data were analyzed using thematic analysis. Results Factors influencing life-space restriction in older stroke patients were identified, comprising five main themes and twelve sub-themes: cognitive, psychological, physical, socio-environmental, and financial factors. Conclusion The factors contributing to life-space restriction in older stroke patients are complex and multifaceted.Healthcare professionals should identify the risk factors for life-space restriction early on and develop multidimensional and individualized intervention strategies to help stroke patients expand their life-space, thereby enhancing their quality of life and social participation.

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鲜春莉,徐江华,张黎明,赵云,范梦,温春林.老年脑卒中患者生活空间受限影响因素的质性研究[J].护理学杂志,2026,41(7):15-20

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  • 收稿日期:2025-10-26
  • 最后修改日期:2025-12-29
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  • 在线发布日期: 2026-04-28