What about self-management post-stroke? Challenges for stroke survivors, spouses and professionals
Year: 2016
Type: dissertation
Abstract: Self-management post-stroke is challenging for many persons after a stroke. In this thesis is explored\nhow stroke survivors, spouses and professionals perceived self-management post-stroke and how the\nprocess of self-management post-stroke evolved over time.\nThe following studies are conducted: a thematic synthesis of qualitative studies, three focus group\nstudies with stroke survivors, their spouses and professionals, and a longitudinal study among stroke\nsurvivors with participant observations and interviews.\nThe process of self-management is a complex and dynamic process. Three phases can be distinguished:\n1) Self-management of stroke consequences; 2) Self-management of daily activities; and 3) Selfmanagement\nof a meaningful life post-stroke. Stroke survivors, spouses and professionals all\nconcluded that stroke survivors‘ self-management can best be developed durng the performance of\ndaily activities at home. Furthermore, beside stroke survivors‘ self-management, there should also be\nattention for self-management of the spouses, co-management, and family management.\nTwo types of stroke self-management programs are advised. In the first period post-discharge, the\ninterventions should focus on development of stroke survivors’ self-management of everyday\nactivities. The second type, recommended for stroke survivors who are at home for a longer time,\nshould focus more on existential issues post-stroke and the possibiltiies stroke survivors (still) have to\nlive a meaningful life.
Author: A.J.H. Satink
Language: English
Subfield: Rehabilitation
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W2511276296