Exploring Post-stroke Experiences of Thai Community-Dwelling Stroke Survivors and Family Caregivers: Implications for Enhancing Quality of Life

Stroke is one of the non-communicable diseases (NCDs) that is a serious global health concern because it is the leading cause of long-term disability and death, while the burden of stroke continues to increase. Stroke survivors should receive early rehabilitation that continues post-hospital discharge to improve their abilities and quality of life (QoL). Although Thailand has made advancements in its healthcare system at hospitals, the QoL of stroke survivors and their caregivers still needs to be improved through an understanding of their experiences and needs in the community context. This study aimed to explore the post-stroke experiences and needs of community-dwelling Thai stroke survivors and their primary family caregivers. A total of 16 participants (eight stroke survivors and their eight primary family caregivers) from both rural and urban areas of the Muang district, Lamphun province, Thailand, were recruited. Data was collected through semi-structured, in-depth face-to-face interviews and was analyzed using thematic analysis, applying both inductive and deductive approaches. Four key themes emerged: 1) changes after stroke; 2) impact after life changes from stroke; 3) perspectives on needs for well-being; and 4) barriers to achieve well-being. These findings provide valuable insights into the challenges and needs of Thai stroke survivors and their caregivers, emphasizing the importance of client-centered rehabilitation services that effectively address their specific requirements. Furthermore, the results support the establishment of community rehabilitation centers as an effective strategy to improve the QoL of community-dwelling Thai stroke survivors and their families.