正念知情干预对中风幸存者及其家人的护理意义| Stroke

Abstract

The consequences of stroke can be devastating and include psychological distress, such as anxiety and depression, functional deficits, pain, and cognitive impairment. Symptoms are complex and impact not only the stroke survivor but may also be challenging for family caregivers. Studies have consistently demonstrated that mindfulness-informed interventions (MBI), such as mindfulness-based stress reduction and acceptance and self-compassion therapies, improve symptoms in a wide variety of clinical populations. However, research examining MBIs within the stroke population is in its infancy. Nurses, who have traditionally focused on holistic care delivery are in a unique position to incorporate MBIs throughout the stroke care continuum. In this topical review, we examine the literature related to the use of MBIs in stroke survivors and their family caregivers. We include a critical appraisal of existing literature, discuss nursing implications, and make recommendations for future research. Mindfulness-informed interventions are feasible and acceptable within the stroke population and may be an important complementary treatment to help stroke survivors and their families manage the consequences of stroke. We recommend further research to tailor MBI programs to the unique needs of stroke survivors and their family caregivers. In addition, nurses should consider opportunities to be trained in MBIs and incorporate these programs into their practice and research.

翻译（仅供参考）

中风的后果可能是毁灭性的，包括心理困扰，例如焦虑和抑郁、功能缺陷、疼痛和认知障碍。症状很复杂，不仅影响中风幸存者，而且对家庭护理人员也可能具有挑战性。研究一致表明，正念知情干预 (MBI)，例如基于正念的减压和接受以及自我同情疗法，可以改善各种临床人群的症状。然而，检查中风人群中 MBI 的研究仍处于起步阶段。传统上专注于提供整体护理的护士处于独特的位置，可以将 MBI 纳入整个中风护理连续体。在这篇专题综述中，我们检查了有关在中风幸存者及其家庭照顾者中使用 MBI 的文献。我们包括对现有文献的批判性评价，讨论护理影响，并为未来的研究提出建议。正念知情干预在中风人群中是可行和可接受的，并且可能是帮助中风幸存者及其家人管理中风后果的重要补充治疗。
我们建议进一步研究，根据中风幸存者及其家庭护理人员的独特需求定制 MBI 计划。此外，护士应考虑接受 MBI 培训的机会，并将这些项目纳入他们的实践和研究中。正念知情干预在中风人群中是可行和可接受的，并且可能是帮助中风幸存者及其家人管理中风后果的重要补充治疗。

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