"Well in in this neighborhood I have walked, not at all": Stroke survivors lived experience in the outdoor environment.
"Well in in this neighborhood I have walked, not at all": Stroke survivors lived experience in the outdoor environment.
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“好吧，在这个社区，我走了，而不是在所有”：中风幸存者生活在户外环境的经验。
DOI：
10.1016/j.socscimed.2022.115107
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发表时间：
2022-07
影响因子：
5.4
通讯作者：
Clarke, Philippa J.
中科院分区：
文献类型：
--
作者：
Twardzik, Erica;Colabianchi, Natalie;Duncan, Lilia;Lisabeth, Lynda D.;Brown, Susan H.;Clarke, Philippa J.
中风幸存者在中风后返回家园社区时，在户外环境中面临着独特的挑战。挑战包括在不平坦的地形上航行，社会耻辱，以及适应功能的变化。户外环境可以作为潜在的干预点，以促进中风后的独立性和参与。本研究旨在了解中风后在户外环境中的生活经历，因为它与独立移动有关。对20名卒中幸存者（8名男性，12名女性;平均年龄64.2岁：范围45岁-90岁）进行了定性半结构化访谈。如果参与者年龄超过45岁，可以用英语交流，住在疗养院外面，能够安全地在户外行走，中风后至少六个月，并且没有严重的认知障碍，则有资格参加。与参与者的采访录音，录音文件逐字转录，代码创建和应用到成绩单，并使用解释现象学分析产生的主题。中风后在户外环境中的经历是多方面的。中风幸存者对户外环境中个人经历的描述中出现了三个主题。这些主题包括警觉的感觉，采用适应策略，自我和环境之间的动态关系的管理。研究结果强调了中风后穿越户外环境的经历。投资于公共户外环境，以消除障碍和安装促进器，可以减少在户外环境中行走时的恐惧感和高度警惕感。未来的研究需要评估环境干预对中风后户外环境中过度警觉的作用。
Stroke survivors face unique challenges in the outdoor environment when returning to their home community following a stroke. Challenges include navigating uneven terrain, social stigma, and adapting to changes in functioning. Outdoor environments may serve as potential points of intervention to promote independence and participation post stroke. This study aimed to understand lived post-stroke experience in the outdoor environment as it pertains to independent mobility. Qualitative semi-structured interviews were conducted with 20 stroke survivors (8 males, 12 females; mean age 64.2 years: range 45 years – 90 years). Participants were eligible if they were over the age of 45, could communicate in English, lived outside a nursing home, able to walk safely outdoors, were a minimum of six-months post stroke, and had no severe cognitive impairment. Interviews with participants were tape recorded, audio files were transcribed verbatim, codes were created and applied to transcripts, and themes were generated using interpretative phenomenological analysis. Post-stroke experiences in the outdoor environment were multidimensional. Three themes emerged from the stroke survivors’ description of personal experiences in the outdoor environment. These themes included feelings of vigilance, employing adaptation strategies, and management of dynamic relations between the self and context. The findings highlight the post-stroke experience traversing the outdoor environment. Investing in the public outdoor environment to remove barriers and install facilitators could reduce feelings of apprehension and hypervigilance while walking in the outdoor environment. Future research is needed to evaluate the role of environmental interventions on hypervigilance in the outdoor environment post stroke.
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影响因子：
2.2
作者：
Robison, J.;Wiles, R.;Ashburn, A.
通讯作者：
Ashburn, A.
影响因子：
2.7
作者：
Patterson, PK;Chapman, NJ
通讯作者：
Chapman, NJ
影响因子：
12.7
作者：
Krahn, Gloria L.;Walker, Deborah Klein;Correa-De-Araujo, Rosaly
通讯作者：
Correa-De-Araujo, Rosaly
影响因子：
5.4
作者：
Hicken, Margaret T.;Lee, Hedwig;Hing, Anna K.
通讯作者：
Hing, Anna K.
DOI：
10.3758/bf03200674
发表时间：
1998-08-01
期刊：
BEHAVIOR RESEARCH METHODS INSTRUMENTS & COMPUTERS
影响因子：
--
作者：
Lieberman, HR;Coffey, B;Kobrick, J
通讯作者：
Kobrick, J