Qualitative study on risk perception of additional injury during motor rehabilitation in stroke patients with hemiplegia
10.3760/cma.j.cn115682-20241209-06764
- VernacularTitle:脑卒中偏瘫患者运动康复额外损伤风险感知的质性研究
- Author:
Yue JU
1
;
Qing WANG
;
Jiachen ZHANG
;
Sunling CONG
;
Yun MAO
;
Hui XU
Author Information
1. 江苏大学鼓楼临床医学院，南京 210008
- Publication Type:Journal Article
- Keywords:
Stroke;
Motor rehabilitation;
Additional injury;
Risk perception;
Qualitative research
- From:
Chinese Journal of Modern Nursing
2025;31(23):3097-3103
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the characteristics and influencing factors of risk perception related to additional injury during motor rehabilitation in stroke patients with hemiplegia, and to provide a foundation for the development of assessment tools and prevention strategies.Methods:A purposive sampling strategy combined with maximum variation sampling was employed to select 15 stroke patients with hemiplegia who were hospitalized in the Department of Neurology and Department of Rehabilitation at Northern Jiangsu People's Hospital between January and April 2024. Face-to-face, semi-structured in-depth interviews were conducted. Data were analyzed and thematically extracted using Colaizzi seven-step method.Results:Each interview lasted between 25 and 47 minutes, totaling 547 minutes of interview time and approximately 92 000 words of transcription. A total of 3 major themes were identified: characteristics of risk perception regarding additional injury during motor rehabilitation, multidimensional influencing factors of risk perception, and perceived severity of additional injury.Conclusions:Stroke patients with hemiplegia exhibit diverse and dynamic risk perception characteristics regarding additional injury during motor rehabilitation, which are influenced by multiple interrelated factors. A generally low and inaccurate level of risk perception was observed. Medical staff should pay greater attention to improving the accuracy of patients' risk perception, enhancing risk assessment mechanisms, and developing targeted prevention strategies to help patients avoid additional injuries and maximize the benefits of motor rehabilitation.
