Hunter Stroke Service, Hunter New England Area Health Local Network, New South Wales, Australia.
Disabil Rehabil. 2012;34(10):831-8. doi: 10.3109/09638288.2011.623754. Epub 2011 Oct 29.
Loss of role as a driver significantly affects community participation; therefore, we aimed to explore the impact of driving issues post-stroke in community-dwelling stroke survivors.
A longitudinal qualitative study of community-dwelling stroke survivors, using semi-structured interviews.
Twenty-two participants took part in 84 interviews over a 1-year period post-stroke. The majority of participants was independent and experienced few major depressive symptoms. ages ranged from 50 to 92 years. Emergent key themes included impact on quality of life, personal impacts, change to role performance and knowledge. Participants received inconsistent advice regarding return to driving. Confidence and availability determined public transport use.
Driving advice should be standard practice prior to discharge. Allied health professionals can play an essential role in interventions addressing community participation, driver re-training and alternative transport use. Therapists have an important role in assisting stroke survivors to work through feelings of loss and in providing education concerning new skills to support this life transition.
丧失驾驶角色会显著影响社区参与；因此，我们旨在探讨驾驶问题对社区居住的中风幸存者的影响。
对社区居住的中风幸存者进行纵向定性研究，使用半结构式访谈。
22 名参与者在中风后 1 年内参加了 84 次访谈。大多数参与者是独立的，且经历的重度抑郁症状较少。年龄从 50 岁到 92 岁不等。出现的主要主题包括对生活质量的影响、个人影响、角色表现和知识的变化。参与者在重返驾驶方面得到的建议不一致。信心和可用性决定了公共交通的使用。
在出院前，驾驶建议应成为标准做法。联合健康专业人员可以在干预社区参与、驾驶员再培训和替代交通使用方面发挥重要作用。治疗师在帮助中风幸存者克服失落感并提供有关新技能的教育方面发挥着重要作用，以支持这种生活转变。
