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首页> 外文期刊>BMC Family Practice >An exploration of lifestyle beliefs and lifestyle behaviour following stroke: findings from a focus group study of patients and family members
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An exploration of lifestyle beliefs and lifestyle behaviour following stroke: findings from a focus group study of patients and family members

机译：中风后生活方式信念和生活方式行为的探索：来自患者和家庭成员的焦点小组研究的结果

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Background Stroke is a major cause of disability and family disruption and carries a high risk of recurrence. Lifestyle factors that increase the risk of recurrence include smoking, unhealthy diet, excessive alcohol consumption and physical inactivity. Guidelines recommend that secondary prevention interventions, which include the active provision of lifestyle information, should be initiated in hospital, and continued by community-based healthcare professionals (HCPs) following discharge. However, stroke patients report receiving littleo lifestyle information. There is a limited evidence-base to guide the development and delivery of effective secondary prevention lifestyle interventions in the stroke field. This study, which was underpinned by the Theory of Planned Behaviour, sought to explore the beliefs and perceptions of patients and family members regarding the provision of lifestyle information following stroke. We also explored the influence of beliefs and attitudes on behaviour. We believe that an understanding of these issues is required to inform the content and delivery of effective secondary prevention lifestyle interventions. Methods We used purposive sampling to recruit participants through voluntary sector organizations (29 patients, including 7 with aphasia; 20 family members). Using focus group methods, data were collected in four regions of Scotland (8 group discussions) and were analysed thematically. Results Although many participants initially reported receiving no lifestyle information, further exploration revealed that most had received written information. However, it was often provided when people were not receptive, there was no verbal reinforcement, and family members were rarely involved, even when the patient had aphasia. Participants believed that information and advice regarding healthy lifestyle behaviour was often confusing and contradictory and that this influenced their behavioural intentions. Family members and peers exerted both positive and negative influences on behavioural patterns. The influence of HCPs was rarely mentioned. Participants' sense of control over lifestyle issues was influenced by the effects of stroke (e.g. depression, reduced mobility) and access to appropriate resources. Conclusions For secondary prevention interventions to be effective, HCPs must understand psychological processes and influences, and use appropriate behaviour change theories to inform their content and delivery. Primary care professionals have a key role to play in the delivery of lifestyle interventions.
机译：背景技术中风是导致残疾和家庭破裂的主要原因，并且具有很高的复发风险。增加复发风险的生活方式因素包括吸烟，不健康饮食，过量饮酒和缺乏运动。指南建议，二级预防干预措施（包括积极提供生活方式信息）应在医院中启动，出院后由社区医疗专业人员继续进行。然而，中风患者报告几乎没有/没有生活方式信息。仅有有限的证据基础来指导中风领域中有效的二级预防生活方式干预措施的开发和实施。这项研究以计划的行为理论为基础，旨在探讨中风后患者和家庭成员关于提供生活方式信息的信念和看法。我们还探讨了信仰和态度对行为的影响。我们认为，必须了解这些问题，才能为有效的二级预防生活方式干预措施的内容和实施提供信息。方法我们采用目的抽样，通过自愿性部门组织招募参与者（29例患者，其中7例失语; 20例家庭成员）。使用焦点小组方法，收集了苏格兰四个地区的数据（进行了8次小组讨论），并进行了主题分析。结果尽管许多参与者最初报告没有收到任何生活方式方面的信息，但进一步的调查显示，大多数参与者都收到了书面信息。但是，通常是在人们不易接受，语言不增强，家人很少参与的情况下提供的，即使患者患有失语症也是如此。参与者认为，有关健康的生活方式的信息和建议常常令人困惑和自相矛盾，这影响了他们的行为意图。家庭成员和同伴对行为方式产生积极和消极的影响。很少提到六溴环十二烷的影响。参与者对生活方式问题的控制感受到中风（例如抑郁，行动不便）和获得适当资源的影响。结论为了使二级预防干预措施有效，HCP必须了解心理过程和影响，并使用适当的行为改变理论来告知其内容和交付方式。初级保健专业人员在提供生活方式干预方面可以发挥关键作用。

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