Factors influencing health beliefs regarding facial nerve rehabilitation training in patients with peripheral facial paralysis: a qualitative study
- 1Department of Nursing, Affiliated Hospital of North Sichuan Medical College
- 2School of Nursing, North Sichuan Medical College
- 3Gaoxin Hospital, Affiliated to West China Second School of Medicine, Sichuan University
Abstract
Objective: To investigate the factors influencing health beliefs regarding facial nerve rehabilitation training in patients with peripheral facial paralysis (PFP), and to provide a reference for developing precise and individualized facial nerve rehabilitation training programs for this population.
Methods: Guided by the Health Belief Model (HBM), this descriptive qualitative study employed purposive sampling to recruit 16 patients with PFP who had received facial nerve rehabilitation training in healthcare settings. Semi-structured interviews were conducted, and the data were analyzed using codebook thematic analysis.
Results: Through data analysis, five overarching themes and 23 subthemes were identified: Perceived Threat of the Disease (appearance impairment, emotional distress, disease course concern, diminished role functioning, disease burden); Perceived Benefits of Health Behaviors (improvement of facial paralysis symptoms, emotional improvement, social participation, image enhancement, reduced disease burden); Perceived Barriers to Health Behaviors (memory difficulties, inconsistencies in guidance content and methods, emotional interference, time–space constraints, low perceived importance); Cues to Action (professional guidance, post-discharge referral services, family support, stage goal setting, health benefits, peer support); and Self-efficacy (perseverance, ability to regulate training intensity).
Discussion: Health beliefs regarding facial nerve rehabilitation training in patients with PFP are influenced by multiple interrelated factors. Healthcare providers should promptly identify and respond to perceived barriers to health behaviors, reinforce the perception of disease threat and benefits of health behaviors, and utilize cues to action and self-efficacy as key entry points for intervention. Tailored rehabilitation guidance and recommendations should be provided to enhance patients' adherence to facial nerve rehabilitation training and improve their quality of life.
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BibTeX
@article{shi2026factors,
title = {{Factors influencing health beliefs regarding facial nerve rehabilitation training in patients with peripheral facial paralysis: a qualitative study}},
author = {Xiujun Shi and Ling Wu and Chunlin He and Lingyu Qiu and Jingfeng Zhou and Wenyu Luo and Li Zhao},
journal = {Frontiers in Neurology},
year = {2026},
month = nov,
doi = {10.3389/fneur.2026.1933957},
url = {https://www.frontiersin.org/articles/10.3389/fneur.2026.1933957/full},
note = {CC BY 4.0},
}
RIS
TY - JOUR
TI - Factors influencing health beliefs regarding facial nerve rehabilitation training in patients with peripheral facial paralysis: a qualitative study
AU - Xiujun Shi
AU - Ling Wu
AU - Chunlin He
AU - Lingyu Qiu
AU - Jingfeng Zhou
AU - Wenyu Luo
AU - Li Zhao
PY - 2026
DA - 2026/11/04
JO - Frontiers in Neurology
DO - 10.3389/fneur.2026.1933957
UR - https://www.frontiersin.org/articles/10.3389/fneur.2026.1933957/full
AB - Objective: To investigate the factors influencing health beliefs regarding facial nerve rehabilitation training in patients with peripheral facial paralysis (PFP), and to provide a reference for developing precise and individualized facial nerve rehabilitation training programs for this population. Methods: Guided by the Health Belief Model (HBM), this descriptive qualitative study employed purposive sampling to recruit 16 patients with PFP who had received facial nerve rehabilitation training in healthcare settings. Semi-structured interviews were conducted, and the data were analyzed using codebook thematic analysis. Results: Through data analysis, five overarching themes and 23 subthemes were identified: Perceived Threat of the Disease (appearance impairment, emotional distress, disease course concern, diminished role functioning, disease burden); Perceived Benefits of Health Behaviors (improvement of facial paralysis symptoms, emotional improvement, social participation, image enhancement, reduced disease burden); Perceived Barriers to Health Behaviors (memory difficulties, inconsistencies in guidance content and methods, emotional interference, time–space constraints, low perceived importance); Cues to Action (professional guidance, post-discharge referral services, family support, stage goal setting, health benefits, peer support); and Self-efficacy (perseverance, ability to regulate training intensity). Discussion: Health beliefs regarding facial nerve rehabilitation training in patients with PFP are influenced by multiple interrelated factors. Healthcare providers should promptly identify and respond to perceived barriers to health behaviors, reinforce the perception of disease threat and benefits of health behaviors, and utilize cues to action and self-efficacy as key entry points for intervention. Tailored rehabilitation guidance and recommendations should be provided to enhance patients' adherence to facial nerve rehabilitation training and improve their quality of life.
SN - 1664-2295
ER -