A qualitative study of the consequences of 'hidden dysfunctions' one year after a mild stroke in persons < 75 years
A qualitative study of the consequences of 'hidden dysfunctions' one year after a mild stroke in persons < 75 years
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DOI：
10.1080/09638280400000211
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发表时间：
2004-12-02
影响因子：
2.2
通讯作者：
Blomstrand, C
中科院分区：
文献类型：
--
作者：
Carlsson, GE;Möller, A;Blomstrand, C
背景和目的：精神疲劳、注意力不集中和记忆困难、易怒、情绪不稳定、应激耐受力受损以及声音和光敏感性增加，在本文中通过无力情绪综合征（AE综合征）进行操作，这些都是中风的已知后果。本研究的目的是探讨患有 AE 综合征的人在轻度中风一年后如何在日常生活中经历该综合征的后果。方法：采用定性设计。通过战略抽样选出 15 名受访者并进行访谈。采用扎根理论方法进行分析。结果：数据分析得出伤害/威胁自我作为核心类别，主要有四个类别，涵盖隐藏-明显功能障碍、可预测-不可预测、独立-依赖和主动生活-被动生活维度。以数据为基础的模型显示了验证 AE 综合征日常生活后果的动态和相互作用的结构特性和过程。结论：以精神疲劳为最常见症状的 AE 综合征影响了日常生活的许多方面，进而影响了活动表现和独立性。这些症状以多种方式“隐藏”，不仅在人的外表上无法察觉，而且在更具象征意义的层面上对患者及其环境中的人来说并不明显。这些症状随着环境条件的变化而变化，并且是不可预测的。
Background and purpose: Increased mental fatiguability, concentration and memory difficulties, irritability, emotional instability, impaired stress tolerance, and sound and light sensitivity, in this paper operationalized through the astheno-emotional syndrome (AE syndrome) are known consequences of stroke. The aim of this study was to explore how persons with AE syndrome, one year after a mild stroke, experienced the consequences of the syndrome in everyday life.Method: A qualitative design was used. Fifteen respondents were chosen by strategic sampling and interviewed. The analysis was done using a grounded theory method.Results: Data analysis yielded harmed/threatened self as the core category with four main categories covering the dimensions of: hidden-apparent dysfunction, predictability-unpredictability, independence-dependence and active life-passive life. The model grounded in data shows the structural properties and the processes that verify the dynamics and interactions of the everyday life consequences of AE syndrome.Conclusions: AE syndrome with mental fatiguability as the most common symptom affected many dimensions of everyday life, which in turn affected performance of activities and independence. The symptoms were 'hidden' in many ways, not only indetectable in the appearance of the person, but also on a more symbolic level not apparent to the patient and persons in their environment. The symptoms changed with environmental circumstances and were experienced as unpredictable.