Self-determination experience in home-based exercise rehabilitation of stroke patients:a qualitative meta-synthesis
10.3761/j.issn.0254-1769.2025.01.017
- VernacularTitle:脑卒中患者居家运动康复自我决策体验的Meta整合
- Author:
Jie XU
1
;
Qing WANG
;
Jianing SHAO
;
Wenjin XU
;
Yuting DAI
;
Kangling JI
Author Information
1. 210023 南京市 南京中医药大学护理学院
- Publication Type:Journal Article
- Keywords:
Stroke;
Exercise Rehabilitation;
Self-Determination;
Meta-Synthesis;
Evidence-Based Nursing
- From:
Chinese Journal of Nursing
2025;60(1):121-128
- CountryChina
- Language:Chinese
-
Abstract:
Objective To systematically evaluate and integrate real experience and feelings of self-determination in home-based exercise rehabilitation of stroke patients.Methods We searched databases including PubMed,Embase,Web of Science,Cochrane Library,CINAHL,CNKI,Wanfang,VIP,Sinomed.The literature of qualitative research on self-determination experience in home-based exercise rehabilitation of stroke patients from the establishment of the database to February 2024 was retrieved.The literature was evaluated using the Australian JBI Quality Evaluation Criteria for Qualitative Research in Evidence-based Health Care Centers(2016),and the results were consolidated using an aggregative integration approach.Results A total of 23 theme were extracted,and 10 new categories were formed after induction and integration,which were finally merged into 3 integrated results,including multiple dilemmas in rehabilitation self-determination,motivation transformation during self-determination,strategies to achieve self-determination.Conclusion During the process of home-based exercise rehabilitation for stroke patients,medical personnel should pay attention to patients'determination dilemma,motivation changes and related strategies they adopt.Targeted decision-making programs should be developed for stroke patients,aiming for the scientific and precise advancement of exercise rehabilitation.
