“我了解了自己,也了解了我的生活前景”:中风患者下肢CIMT训练的经验

Ingela Marklund, M. Klässbo, B. Hedelin
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引用次数: 6

摘要

脑卒中后康复发生了变化,强化治疗的研究越来越多。当引入一种新的方法-下肢约束诱导运动疗法(CIMT)时,重要的是调查参与者自己的治疗经验。因此,本研究的目的是描述脑卒中患者的下肢CIMT训练经验。对7例参加下肢CIMT的脑卒中患者进行定性访谈。访谈内容逐字记录,并进行定性内容分析。有一个主题浮现了出来,那就是对我自己的认识和我过一种更轻松生活的前景。主要分为两类:治疗和我和我的身体,分别有四类和三类。治疗包括被调查者准备CIMT的经验,实际强化训练及其效果,以及他们对所涉及的物理治疗师的看法。我和我的身体包含了被调查者对自己在治疗中的重要性的反思,这些反思是如何影响他们的,以及CIMT对他们的病情有什么见解。举报者报告说,对下肢进行的CIMT使他们了解自己的身体,并使他们过上更轻松的生活。强化训练灌输了希望,因为功能的改善显示了改善的可能性,增加了受访者的独立性和自尊心。尽管高强度的训练是艰苦的,但它是完全必要的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
“I got knowledge of myself and my prospects for leading an easier life”: Stroke patients’ experience of training with lower-limb CIMT
Abstract Rehabilitation after stroke has changed and more studies with intensive therapy have been conducted. When a new method – here lower-limb constraint-induced movement therapy (CIMT) – is introduced, it is important to investigate participants’ own experience of the therapy. The present purpose was accordingly to describe stroke patients’ experience of training with lower-limb CIMT. Qualitative interviews with seven stroke patients who had participated in lower-limb CIMT were conducted. The interviews were transcribed verbatim and analysed with qualitative content analysis. One theme, knowledge of myself and my prospects for leading an easier life, emerged. Two main categories were found: the therapy and me and my body, with four and three categories respectively. The therapy comprised the informants’ experience of preparation for CIMT, the actual intensive training and its effects, and their views on the physiotherapists involved. Me and my body comprised the informants’ reflections on their own significance for the therapy, how the reflections had affected them and what insight into their condition CIMT had given. The informants reported that CIMT for the lower extremity gave them knowledge of their body and their prospects for leading an easier life. The intensive training instilled hope, since the functional improvements showed the possibilities of improvements, increasing the respondents’ independence and self-esteem. Even though the intensive training is tough, it was experienced as entirely necessary.
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