School of Nursing and Midwifery, Faculty of Health and Medicine, University of Newcastle, Newcastle, NSW, Australia.
Priority Research Centre for Stroke and Brain Injury, Hunter Medical Research Institute, New Lambton Heights, NSW, Australia.
J Clin Nurs. 2018 Apr;27(7-8):1381-1398. doi: 10.1111/jocn.14271. Epub 2018 Mar 22.
To explore and present findings of qualitative studies exploring real-life experiences of people with transient ischaemic attack or minor stroke.
Transient ischaemic attack and minor stroke significantly increase the risk of stroke. Primarily, literature has examined healthcare pathways, patient outcomes and models of care through quantitative methodologies. Several studies have explored patient experiences using qualitative approaches. However, these findings have not been systematically collated or critically appraised to better understand the experiences of this population.
A literature review of the qualitative evidence.
A systematic literature search was conducted in CINAHL, MEDLINE, EMBASE and PsycINFO between January 2005-October 2016 to identify qualitative studies that explored real-life experiences of people with transient ischaemic attack or minor stroke. The relevant EQUATOR guidelines were followed. Findings of relevant studies were critically appraised and collated using a thematic approach.
The search retrieved 709 articles. Twelve articles were included after critical review. Three themes emerged including recognition, awareness and action; the vulnerable self; and social and personal life change. Participants experienced ongoing vulnerability and change in their personal and social lives. Specifically, people believed that their condition did not reflect their physical appearance and led to their needs being unmet by health professionals.
This is the first review of the literature to collate the thoughts, perspectives and experiences of people living with transient ischaemic attack or minor stroke. They reveal a complex, life-altering experience characterised by vulnerability, instability and change. Education that assists clinicians to connect with these experiences may alleviate the patient-reported disconnection with health professionals.
Physical and psychosocial dysfunctions were consistently reported to be overlooked or undetected by clinicians. Educating clinicians might enable them to better understand patient experiences, improve therapeutic interactions and meet the needs of this population.
探索并呈现定性研究探索短暂性脑缺血发作或小中风患者真实体验的结果。
短暂性脑缺血发作和小中风显著增加中风风险。主要是，文献通过定量方法研究了医疗保健途径、患者结果和护理模式。有几项研究使用定性方法探讨了患者的体验。然而，这些发现尚未被系统地整理和批判性评估，以更好地了解这一人群的体验。
对定性证据的文献综述。
2005 年 1 月至 2016 年 10 月，在 CINAHL、MEDLINE、EMBASE 和 PsycINFO 中进行了系统的文献检索，以确定探讨短暂性脑缺血发作或小中风患者真实体验的定性研究。遵循相关的 EQUATOR 指南。使用主题方法批判性地评估和整理相关研究的结果。
检索到 709 篇文章。经过严格审查，有 12 篇文章被纳入。出现了三个主题，包括识别、意识和行动；脆弱的自我；和社会和个人生活的变化。参与者在个人和社会生活中经历了持续的脆弱性和变化。具体来说，人们认为他们的病情并不反映他们的外表，导致他们的需求未得到卫生专业人员的满足。
这是首次对文献进行综述，以整理患有短暂性脑缺血发作或小中风的人的想法、观点和体验。他们揭示了一种以脆弱性、不稳定性和变化为特征的复杂、改变生活的体验。帮助临床医生与这些体验相联系的教育可能会减轻患者与卫生专业人员之间的脱节。
临床医生一致报告忽视或未发现身体和心理社会功能障碍。教育临床医生可能使他们能够更好地理解患者的体验，改善治疗互动，并满足这一人群的需求。
