A mixed study of the needs of patients with post-stroke cognitive impairment no dementia
10.3760/cma.j.cn211501-20231205-01204
- VernacularTitle:卒中后非痴呆认知障碍患者健康需求调查的混合研究
- Author:
Meng JIAO
1
;
Peiyu ZHAO
;
Yan XU
;
Si GAO
;
Xudong HE
;
Jianni QU
;
Hong GUO
Author Information
1. 北京中医药大学护理学院，北京 100029
- Keywords:
Stroke;
Cognition disorders;
Nursing care;
Health needs;
Health management;
Mixed research
- From:
Chinese Journal of Practical Nursing
2024;40(14):1105-1114
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand the health needs of patients with non-dementia cognitive impairment after stroke, to provide reference for targeted interventions.Methods:Using the convergent mixed research method, convenience sampling was used to select post-stroke patients with non-dementia cognitive impairment in China-Japan Friendship Hospital and Beijing University of Chinese Medicine Third Affiliated Hospital, a cross-sectional survey was conducted on 191 patients with non-dementia cognitive impairment after stroke using the health needs questionnaire in March to August 2023. A descriptive study was used to conduct semi-structured interviews with 16 patients.Results:A total of 191 questionnaires were distributed and 191 valid questionnaires were collected, including 103 male and 88 female patients, aged from 34 to 90 years old. The items of the post-stroke health questionnaire were (3.47 ± 0.54), with the highest need for understanding the rehabilitation program (148/191); multiple linear regression analysis showed that gender and primary caregiver type were factors influencing their health needs ( t = 2.39, 2.73, both P<0.05). A total of 16 patients with non-dementia cognitive impairment after stroke, 10 males and 6 females, aged from 58 to 90 years old, were interviewed. Four themes were extracted, namely, information support and behavioral guidance needs, psychological care needs, social support needs, and pre-established medical care plan needs. Conclusions:The health needs of patients with non-dementia cognitive impairment after stroke are at an above medium level and have diversified characteristics. Medical staff should conduct systematic health management based on patients′specific conditions and actual needs to help patients recover or maintain cognitive function.
