关键词: 缺血性脑卒中, 自我管理, 定性研究, 护理

Abstract:

Objective To explore the dilemma of self-management behavior maintenance in ischemic stroke patients，and to provide references for continuous self-management intervention design for ischemic stroke patients. Methods The descriptive qualitative research method was used to select samples by the purpose sampling method. From November to December 2023，18 patients hospitalised with stroke from the neurology ward of a tertiary general hospital in Luoyang City，Henan Province were selected for semi-structured interviews. Based on the Capability，Opportunity，Motivation-Behavior（COM-B） model，the data were analyzed by directed content analysis. Results A total of 3 themes and 12 sub-themes were identified，namely capability factors（poor level of health literacy，lack of self-control），opportunity factors（lack of medical resources impeding the maintenance of behaviors，social customs inducing the return of undesirable behaviors，difficult to satisfy the need for multiple emotional support，behavior being improved briefly after follow-up），and motivation factors（impulsive thinking，role conflict leading to forgetfulness，difficult to change previous bad habits，acceptance of the aging，weak self-management effect，symptoms inducing behavioral changes）. Conclusion The maintenance of self-management behavior in ischemic stroke patients is affected by 3 aspects of obstacles，including capability，opportunity and motivation. On the premise of fully evaluating the specific characteristics of ischemic stroke patients，medical staff should meet the multidimensional needs of patients to promote the maintenance of self-management behaviors to improve their health outcomes.

Key words: Ischemic Stroke, Self-Management, Qualitative Research, Nursing Care