Managing an everyday life of uncertainty - A qualitative study of coping in persons with mild stroke

被引:97
作者
Carlsson, Gunnel E. [1 ,2 ]
Moller, Anders [3 ]
Blomstrand, Christian [4 ]
机构
[1] Univ Gothenburg, Inst Neurosci & Physiol, Sect Clin Neurosci & Rehabil, Sahlgrenska Acad,SU Sahlgrenska, SE-41345 Gothenburg, Sweden
[2] Sahlgrens Univ Hosp, Occupat Therapy Dept, Gothenburg, Sweden
[3] Nord Sch Publ Hlth, Gothenburg, Sweden
[4] Sahlgrens Univ Hosp, Dept Neurol Rehabil, Gothenburg, Sweden
关键词
Stroke; mild stroke; hidden dysfunctions; coping; qualitative method; grounded theory; POSTSTROKE FATIGUE; OF-LIFE; CONSEQUENCES; SURVIVORS;
D O I
10.1080/09638280802638857
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Aim. The aim of this study was to investigate from the actor's perspective how and why persons with mild stroke coped, with their new life situation as they did, during the first year after stroke Method. Eighteen persons physically recovered and independent in P-ADL were interviewed 1 year after stroke. The most common symptoms experienced by the respondents were mental fatigability, memory and concentration difficulties, increased stress sensitivity, irritability, emotionalism, lack of initiative and sensitivity to lights and sounds. The questions concerned how and why the respondents tried to cope with their condition as they did. The interviews were transcribed verbatim and analysed using the grounded theory method. Results. Despite a mild stroke, the respondents still after 1 year found everyday life a struggle of uncertainty. Individual and relational concerns and environmental conditions were categories grounded in data describing the coping efforts. The co-occurrence of positive and negative feelings during coping was an important finding. Leisure activities served as an important source of coping. Conclusion. Still 1 year after a stroke that in the acute phase was classified as mild, with expectations of complete recovery, respondents struggled to cope with its consequences and often experienced an everyday life of uncertainty.
引用
收藏
页码:773 / 782
页数:10
相关论文
共 33 条
[1]  
[Anonymous], 1999, COPING PSYCHOL WHAT
[2]  
Banks P., 2004, Sexual Relationship Therapy, V19, P413, DOI DOI 10.1080/14681990412331298009
[3]   Rules of relevance after a stroke [J].
Bendz, M .
SOCIAL SCIENCE & MEDICINE, 2000, 51 (05) :713-723
[4]   The first year of rehabilitation after a stroke - from two perspectives [J].
Bendz, M .
SCANDINAVIAN JOURNAL OF CARING SCIENCES, 2003, 17 (03) :215-222
[5]   A qualitative study of the consequences of 'hidden dysfunctions' one year after a mild stroke in persons < 75 years [J].
Carlsson, GE ;
Möller, A ;
Blomstrand, C .
DISABILITY AND REHABILITATION, 2004, 26 (23) :1373-1380
[6]   Consequences of mild stroke in persons <75 years -: A 1-year follow-up [J].
Carlsson, GE ;
Möller, A ;
Blomstrand, C .
CEREBROVASCULAR DISEASES, 2003, 16 (04) :383-388
[7]  
Colle F., 2006, Annales de Readaptation et de Medecine Physique, V49, P361, DOI 10.1016/j.annrmp.2006.04.010
[8]  
Eaves Y D, 2000, J Neurosci Nurs, V32, P37
[9]   A synthesis technique for grounded theory data analysis [J].
Eaves, YD .
JOURNAL OF ADVANCED NURSING, 2001, 35 (05) :654-663
[10]   Coping: Pitfalls and promise [J].
Folkman, S ;
Moskowitz, JT .
ANNUAL REVIEW OF PSYCHOLOGY, 2004, 55 :745-774