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Living the Full Catastrophe: A Mindfulness-Based Program to Support Recovery from Stroke

机译：生活完整的灾难：以令人思想为基础的计划以支持冲程中的恢复

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摘要

Decades of research suggest that Mindfulness-Based Stress Reduction (MBSR) training supports a greater capacity to live with chronic medical conditions and contributes to lowering stress levels. This paper introduces a model for a Mindfulness-Based Recovery from Stroke (MBRfS) for promoting stroke recovery, informed by the lived experience of the author (a stroke survivor and certified MBSR instructor), the research literature regarding MBSR training, and the specific challenges of stroke recovery. Four themes emerged from the autoethnographic analysis that informed the proposed model: Readiness to accept the stroke event and the acquired brain injury, navigating uncertainties of stroke recovery with awareness and self-responsibility for outcomes, trusting the inherent wisdom of the body as a stroke recovery “teacher”, and increased capacity to integrate complex emotions with self-compassion, and a sense of wholeness. A four-component MBRfS model is offered, which consists of an integration amongst a modified MBSR framework, emergent attitudinal themes, and insights from the autoethnographic vignettes. The MBRfS model offers a path for providing participants with a supportive experience within stroke recovery. Recommendations and suggestions for future studies are offered to support the development of MBRfS for stroke survivors and their caregivers, as well as contributing to healthcare providers.
机译：几十年的研究表明，基于谨慎的压力减少（MBSR）培训支持更大的能力与慢性医疗条件一起生活，并有助于降低压力水平。本文介绍了一种基于行程（MBRF）的正念恢复的模型，用于促进中风恢复，通过作者（中风幸存者和认证MBSR教师），关于MBSR培训的研究文献，以及具体挑战，了解中风恢复。从自动征分析中出现了四个主题，告知拟议的模型：准备接受中风事件和获得的脑损伤，导航中风恢复的不确定性，以意识和自我责任为结果，信任身体的固有智慧作为中风恢复“老师”，以及增加复杂情绪的能力，与自我同情，以及一种全能感。提供了一个四组分MBRFS模型，其中包括修改后的MBSR框架，紧急态度主题和自动象牙传维特的洞察中的集成。 MBRFS模型提供了一条路径，用于提供具有在笔划恢复内的支持体验的参与者。提出了对未来研究的建议和建议，以支持对中风幸存者及其护理人员的MBRFS的发展，以及为医疗保健提供者提供贡献。

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