How to return? experiences of patients in working age after first Ischaemic stroke: an interpretative phenomenological analysis of patient´s perspective at 12 - 24 months post-stroke.

IF 2.1 4区 医学 Q2 NURSING International Journal of Qualitative Studies on Health and Well-Being Pub Date : 2024-12-01 Epub Date: 2024-09-04 DOI:10.1080/17482631.2024.2398249
Šárka Šaňáková, Elena Gurková, Lenka Štureková, Daniela Bartoníčková, Lenka Machálková, Lenka Mazalová
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Abstract

Background: Limited evidence of young adult patient-reported outcomes and experiences after ischaemic stroke has been conducted.

Aim: To investigate the meaning of the lived experiences of stroke patients in working age 12-24 months after their first IS.

Material and methods: The exploratory qualitative study used an interpretative phenomenological analysis (IPA) design. Nine ischaemic stroke patients (with age ranges from 41 to 50 years) took part in semi-structured qualitative interviews.

Results: Even with mild residual neurological deficit, IS negatively impacted the quality of life daily and social life. Six subthemes and three interconnected group experiential themes were generated: (i) From confusion to understanding (ii) Triggers for rebuilding; and (iii) Challenges and benefits.

Conclusion: The study highlights the current gaps and limitations in supporting the needs of stroke patients in working age in long-term post-stroke care. The findings are crucial for healthcare professionals to develop improved age- and mild- impairment-appropriate strategies or tailor self-management interventions for stroke patients of working age.ClinicalTrials.gov: NCT04839887.

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首次缺血性脑卒中后工作年龄段患者的经历:对脑卒中后 12-24 个月患者视角的解释性现象学分析。
背景:目的:调查处于工作年龄的中风患者在首次发生缺血性中风后 12-24 个月的生活经历的意义:这项探索性定性研究采用了解释性现象学分析(IPA)设计。九名缺血性中风患者(年龄在 41 至 50 岁之间)参加了半结构化定性访谈:结果:即使存在轻微的残余神经功能缺损,缺血性脑卒中也对患者的日常生活和社交质量产生了负面影响。产生了六个次主题和三个相互关联的小组经验主题:(i) 从困惑到理解;(ii) 重建的触发因素;(iii) 挑战和益处:本研究强调了目前在支持工作年龄脑卒中患者长期卒中后护理需求方面存在的差距和局限。研究结果对医护人员制定适合工作年龄中风患者年龄和轻度损伤的改进策略或定制自我管理干预措施至关重要:NCT04839887。
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来源期刊
CiteScore
3.20
自引率
5.60%
发文量
99
审稿时长
14 weeks
期刊介绍: International Journal of Qualitative Studies on Health and Well-being acknowledges the international and interdisciplinary nature of health-related issues. It intends to provide a meeting-point for studies using rigorous qualitative methodology of significance for issues related to human health and well-being. The aim of the International Journal of Qualitative Studies on Health and Well-being is to support and to shape the emerging field of qualitative studies and to encourage a better understanding of all aspects of human health and well-being.
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