Work-aged stroke survivors’ psychosocial challenges narrated during and after participating in a dialogue-based psychosocial intervention: a feasibility study

BMC Nursing

Kari Kvigne²  Berit Arnesveen Bronken²  Marit Kirkevold¹  Randi Martinsen² 

[1] Faculty of Medicine, Institute of Health and Society, Department of Nursing Science, University of Oslo, Oslo, Norway;Faculty of Public Health, Department of Nursing and Mental Health, Hedmark University College, Elverum, Norway

关键词: Rehabilitation;    Hermeneutic-phenomenological;    Qualitative method;    Complex intervention;    Feasibility study;    Marginalisation;    Work-aged stroke survivors;    Stroke;   

Others  :  1091614
DOI  :  10.1186/1472-6955-12-22

 received in 2013-02-23, accepted in 2013-09-24,  发布年份 2013

【 摘 要 】

Background

Studies point to the lack of psychosocial support and rehabilitation services that are adjusted to the work-aged stroke survivors’ specific needs in order to promote psychosocial well-being. The aim of the study was to illuminate the psychosocial challenges work-aged participants (i.e. aged 18–67 years) thematised during and after participating a dialogue-based psychosocial intervention during the first year following a stroke.

Methods

The study was a feasibility study guided by the UK Medical Research Council Framework for developing and evaluating complex interventions. Qualitative data from in-depth interviews with fourteen stroke-survivors aged 33–66 years, researcher field notes and log notes written during the intervention were analysed applying a hermeneutic-phenomenological approach.

Results

The stroke and its consequences had a substantial impact on family and work life. Their experiences were summarised in the two themes The threat of becoming marginalised in family life and The threat of becoming marginalised in work life.

Conclusion

Life as a work-aged stroke survivor was experienced as challenging and created a threat of becoming marginalised in family and work life. The study highlights the need to understand the specific psychosocial challenges and needs facing work-aged stroke survivors’ in order to promote their psychosocial well-being. More research is needed concerning specific life-span challenges amongst work-aged stroke survivors in order to further develop appropriate interventions that helps address this issue.

【 授权许可】

   
2013 Martinsen et al.; licensee BioMed Central Ltd.

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