摘要
Abstract
Objective To understand the illness experience of patients with post-stroke motor aphasia during the recovery phase and to provide reference for developing targeted nursing interventions.Methods A phenomenological approach was used.Through purposive sampling,20 inpatients with post-stroke motor aphasia in the recovery phase who were treated in the Department of Neurology of Linzhou People's Hospital from January to December 2022 were selected for semi-structured interviews.Colaizzi's seven-step method was applied,and NVivo 12 was used to manage and analyze the data.Results Three themes and eight subthemes were extracted.At the microsystem level,the theme was individual inner experience and emotional coping(frustration and helplessness caused by loss of language;disturbances in self-identity and difficulties with role adaptation;active coping and self-adjustment strategies).At the mesosystem level,the theme was the interactive influence of family and social support systems(social avoidance and distress;family support as the cornerstone of communication confidence;professional support and communication assistance from healthcare staff).At the macrosystem level,the theme was dilemmas and expectations within the social environment(insufficient communication-facilitating measures in public settings and social misunderstanding;the social support system remains to be improved).Conclusion The illness experience of patients with post-stroke motor aphasia during the recovery phase involves multiple dimensions,including the individual,family,healthcare system,and social environment.Future work should integrate multi-system resources and build a comprehensive intervention model to improve rehabilitation outcomes.关键词
脑卒中/运动性失语/恢复期/疾病体验/质性研究Key words
stroke/Motor Aphasia/recovery phase/illness experience/qualitative study分类
临床医学
