| Objective To establish an intervention plan of meditation for post-stroke fatigue patients and to explore its effects.Methods1.Delphi methodWith the focused solution model as the intervention framework,the Delphi method formed the final clinical intervention plan for PSF through literature review,group discussion,two rounds of expert consultation,combining with the population characteristics of patients with post-stroke fatigue and the characteristics of meditation therapy.2.Quasi-experimental designA total of 62 patients with post-stroke fatigue who were admitted to the rehabilitation department of a tertiary hospital in Wuhan from March 2019 to December 2020(31patients of Ⅰ ward were selected as the experimental group,and 31 patients in the II ward were selected as the control group)were selected as convenience sampling method by non-random grouping.Patients in both groups were treated routinely,and the experimental group received 2W meditation intervention training on this basis.Intervention data were collected from patients at three time points(before intervention,2W after intervention and 4W after intervention)and were evaluated separately from three aspects: Fatigue(MFI-20),mood(SAS,SDS)and quality of life(SS-QOL,PSQI,BI,FRS).SPSS 23.0 was used for statistical analysis,and P < 0.05 was considered as statistically significant.Results1.Construction of the intervention planAfter two rounds of expert consultation,a meditation intervention plan with 6first-level indicators and 21 second-level indicators was finally established.Consultant experts are highly authoritative and concerned.Expert opinions are more centralized,and the degree of coordination is also high,and the results of the consultation are true and reliable.2.Effect evaluation2.1 Fatigue PerceptionThere was no statistical significance difference in the MFI-20 score between the two groups before intervention.The difference was statistically significant(P<0.05)after 2weeks of meditation intervention by comparing the scores of experimental group(47.46±6.43)with the control group(56.20±5.92).After 4 weeks,the difference between the experimental group(45.50±5.88)and the control group(57.31±5.42)was also statistically significant(P < 0.05).Before intervention,2w intervention and 4w after intervention,the comparison between the experimental group(52.57±6.23,47.46±6.43,45.50±5.88)and the control group(53.58±6.16,56.20±5.92,57.31±5.42)showed that the differences of the two groups were both statistical significance(P<0.05).2.2 Emotional evaluation(1)There was no statistically significant difference in SAS between the two groups before intervention.There was no significant difference between the experimental group(44.92±10.40)and the control group(48.31±11.17)after intervention for 2 weeks.There was statistically significant difference between the experimental group(43.42±9.79)and the control group(49.89±10.07)after 4 weeks(P < 0.05).There were statistically significant differences between the two groups before intervention,the intervention for 2W and 4W after intervention within the group(P < 0.05).(2)There was no significant difference in SDS between the two groups before intervention.There was no statistical significant difference between the experimental group and the control group after intervention for 2 weeks(P > 0.05).After four weeks,the difference between the experimental group(40.67±10.37)and the control group(49.48±9.51)was statistically significant(P < 0.05).Before intervention,2w intervention and 4w after intervention,the comparison between the experimental group(45.28±10.40,42.85±10.31,40.67±10.37)and the control group(46.44±10.23,47.55±9.77,49.48±9.51)showed that the differences of the two groups were both statistical significance(P<0.05).2.3 Quality of life(1)There was no statistical difference in SS-QOL between the two groups before intervention.There was significant difference between the experimental group(158.25±11.80)and the control group(149.59±7.42)after meditation intervention for 2 weeks(P <0.05).Four weeks after the end of intervention,the difference between the experimental group(166.04±9.45)and the control group(149.69±7.21)was statistically significant(P< 0.05).Before intervention,2w intervention and 4w after intervention,the comparison between the experimental group(152.93±12.88,158.25±11.80,166.04±9.45)and the control group(149.07±7.45,149.59±7.42,149.69±7.21)showed that the differences of the two groups were both statistical significance(P<0.05).(2)There was no statistically significant difference in PSQI between the two groups before the intervention.The difference was statistically significant(P<0.05)after 2w meditation intervention by comparing the scores of experimental group with the control group.The difference between the experimental group and the control group was statistically significant 4 weeks after the end of intervention(P < 0.05).Before intervention,2w intervention and 4w after intervention,the comparison of the two groups showed that the differences of the two groups were both statistical significance(P<0.05).(3)There was no significant difference in BI between the two groups or within the group before intervention,2W after intervention and 4W after intervention(P > 0.05).(4)There was no statistical significance in the comparison of pain between the two groups before intervention,2W after intervention and 4W after intervention.The difference within the group was statistically significant(P < 0.05).ConclusionBased on the focused solution model,the meditative intervention program constructed by Delphi method is scientific,reliable and clinically applicable.After 2 weeks meditation intervention,it has a certain effect on the fatigue perception,negative emotion and quality of life of PSF patients,and the effect lasts for 1 month,which is worthy of clinical promotion and use. |
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