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March 12, 2021MedicineOpen Access

Strategies adopted to manage physical and psychosocial challenges after returning home among people with stroke

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Key result

Stroke survivors identified five key themes for managing post-stroke challenges, emphasizing the importance of lifelong learning, reinterpreting unpleasant experiences, engaging in life activities, building self-confidence, and accepting their new self.

Why the study?

Stroke survivors' performance of self-management behaviors to manage physical and psychosocial challenges after returning home is poorly understood.

Population

30 stroke survivors living at home after a first or recurrent stroke

Design

Qualitative study with individual semi-structured interviews

Authors

SLSuzanne Hoi Shan LoChinese University of Hong KongJCJanita Pak Chun ChauChinese University of Hong KongACAnne Marie Chang

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Overview

May inform supportive post-stroke care; leaves open translation to improved outcomes in trials.

Structured PICO

P
Population
30 adult stroke survivors (mean age 62, 40% female) living at home in Hong Kong who participated in semi-structured interviews about post-stroke recovery.

Stroke survivors rely on lifelong learning, self-efficacy, and adaptation to manage physical and psychosocial challenges after returning home.

Limitations

  • Convenience sample with a relatively small sample size, limiting generalizability.
  • Majority of participants had lived with stroke for over 10 years, meaning their perceptions of the initial impact may have been diluted over time.
  • Does not identify specific adaptive strategies for specific recovery stages.

Cite This Study

Lo et al. (2021) studied Stroke (n=30). Post-stroke self-management and recovery experiences was evaluated on Themes regarding management of physical and psychosocial challenges after returning home. Stroke survivors identified five key themes for managing post-stroke challenges, emphasizing the importance of lifelong learning, reinterpreting unpleasant experiences, engaging in life activities, building self-confidence, and accepting their new self.

synapsesocial.com/papers/6a707a2184cc45bb7bdfc6f3https://doi.org/10.1097/md.0000000000025026
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Heart Disease and Stroke Statistics—2020 Update: A Report From the American Heart Association2020 · 9,483 citations
  2. 2Rehabilitation after stroke: summary of NICE guidance2013 · 76 citations
  3. 3What does confidence mean to people who have had a stroke? – A qualitative interview study2014 · 51 citations
  4. 4Canadian Stroke Best Practice Recommendations: Managing transitions of care following Stroke, Guidelines Update 20162016 · 125 citations
  5. 5Stroke in young women: An interpretative phenomenological analysis2014 · 34 citations