脑卒中患者运动康复偏好的概念分析OACSTPCD
Exercise rehabilitation preferences in stroke patients:a concept analysis
目的 分析并阐释脑卒中患者运动康复偏好的概念内涵.方法 系统检索中国知网、万方数据知识服务平台、中国生物医学文献数据库、PubMed、Web of Science、Embase、CINAHL,搜索时限为建库至2022年10月.根据纳排标准选取文献,应用Rodgers演化概念分析法对纳入文献进行全面分析.结果 共纳入34篇文献,脑卒中患者运动康复偏好包括运动康复方案偏好、运动康复风险偏好、运动康复时间偏好、监督与支持、信心与挑战5个概念属性;先决条件包括人口学因素、疾病相关因素、情绪心理因素、外部环境因素和疲乏;结局包括实现个性化运动康复、提高运动康复依从性、增高体力活动水平和促进运动功能恢复.结论 通过概念分析脑卒中患者运动康复偏好,可以帮助临床医务人员结合其内涵,深入开展脑卒中患者运动康复的研究探索.
Objective To analyze and explicate the conceptual connotations of exercise rehabili-tation preferences in stroke patients.Methods A systematic search was conducted across multiple da-tabases including the China National Knowledge Infrastructure(CNKI),the Wanfang Data Knowledge Service Platform,the Chinese Biomedical Literature Database,PubMed,Web of Science,Embase,and CINAHL,with the search period extending from inception to October 2022.In accordance with in-clusion and exclusion criteria,eligible literatures were selected,and a comprehensive analysis was per-formed by Rodgers'evolutionary concept analysis method.Results A total of 34 literatures were in-cluded.Exercise rehabilitation preferences for stroke patients encompassed 5 concept attributes:prefer-ences for exercise rehabilitation programs,risk tolerance in rehabilitation,time preferences for engaging in exercises,supervision and support,and confidence and challenges;the antecedents to these prefer-ences included demographic factors,disease-related factors,emotional and psychological factors,exter-nal environmental factors,and fatigue;outcomes associated with these preferences included the realiza-tion of individualized exercise rehabilitation,improvement in adherence to rehabilitation regimens,in-creased levels of physical activity,and facilitation of motor function recovery.Conclusion Through the conceptual analysis of exercise rehabilitation preferences in stroke patients,healthcare professionals can better understand its underlying dimensions,thereby enabling more in-depth research and explora-tion into exercise rehabilitation practices tailored for stroke patients.
戴雨婷;王清;张敏;史慧玲;吉康菱
南京大学医学院附属鼓楼医院神经内科,江苏南京,210008南京大学医学院附属鼓楼医院护理部,江苏南京,210008
临床医学
脑卒中运动康复概念分析Rodgers演化概念分析法
strokeexerciserehabilitationconcept analysisRodgers'evolutionary concept analysis method
《实用临床医药杂志》 2024 (008)
113-118 / 6
国家自然科学基金项目(71704074);江苏省南京市卫生科技发展专项资金重点项目(ZKX21030);南京大学中国医院改革发展研究院重点课题(NDYG2022006)
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