A qualitative study of the influencing factors of ecological momentary assessment of rehabilitation exercise in middle-aged stroke patients
10.3761/j.issn.0254-1769.2024.21.009
- VernacularTitle:中年脑卒中患者康复锻炼生态瞬时评估影响因素的质性研究
- Author:
Yuting TAN
1
;
Zhixia ZHANG
;
Zhen YANG
;
Linru QIAO
;
Rong CHENG
;
Qiuxia CHEN
;
Lanjiao CHEN
;
Qin XIAO
;
Fang JIANG
Author Information
1. 430064 武汉市 武汉科技大学附属天佑医院护理部
- Keywords:
Middle-Aged;
Stroke;
Rehabilitation Exercise;
Ecological Momentary Assessment;
Root Cause Analysis;
Qualitative Study;
Rehabilitation Nursing
- From:
Chinese Journal of Nursing
2024;59(21):2620-2626
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the influencing factors of ecological momentary assessment(EMA)in the implementation of home rehabilitation exercise for middle-aged stroke patients,and to provide a basis for decision-making and practice of precision rehabilitation nursing for stroke.Methods This descriptive qualitative research utilized purposive sampling method to select 8 medical staff,4 information technicians,8 middle-aged stroke patients,and 5 caregivers from a tertiary A general hospital in Wuhan from January 2 to March 10,2024 as the research subjects.Semi-structured interview was conducted based on the framework of diffusion of innovations theory.The data were analyzed using directed content analysis.Results 5 themes and 10 sub-themes were extracted,including relative advantage factors(conducive to precise and dynamic evaluation of patient rehabilitation behavior and symptom trajectory by medical staff;enhancing patient self-management awareness,effectively reducing care burden),compatibility factors(new methods conflict with existing values;new methods are in line with clinical work practice),complexity factors(evaluation frequency affects the accuracy of rehabilitation tracking;limited limb function and social support increase user burden),experimental factors(pilot and real-time feedback improve user experience;experience summary and promotion,the strengthening of practical verification orientation),and observable factors(successful cases of mobile health help popularize new methods;visualization of new methods to enrich mobile health practice).Conclusion There are certain promoting and hindering factors in the implementation of EMA in the field of home rehabilitation exercise for middle-aged stroke patients.In the future,it is necessary to explore the potential of EMA in the field of precision rehabilitation and ensure its compatibility with clinical practice.
