Department of Physical Therapy, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
Rehabilitation Research Program, GF Strong Rehabilitation Research Lab, Vancouver Coastal Health Research Institute, Vancouver, BC, Canada.
Disabil Rehabil. 2020 Jul;42(14):2020-2026. doi: 10.1080/09638288.2018.1544296. Epub 2019 Jan 22.
: To explore the changes in perceived barriers and facilitators associated with participation in secondary prevention activities of stroke survivors and their caregivers over the early stroke recovery period.: We conducted two individual interviews (at 2 weeks and 6 months post-discharge) with stroke survivors and their family members. Using purposive sampling, participants were recruited from the stroke units of two acute care hospitals.: About 11 male and 8 female stroke survivors and nine caregivers participated in the study. Thematic analysis identified three themes. (1) "A soul searching experience" indicating that the stroke was anxiety provoking leading to a soul searching experience into exploring its causes to adopt a healthy lifestyle; (2) "Old habits die hard" revealing that stroke survivors encountered barriers to adopt healthy lifestyle changes; (3) "Making a fresh start" recognizing that participants were motivated to make their lifestyle healthier and most sustained some lifestyle changes over the past 6 months.: Despite experiencing some barriers, stroke survivors adopted lifestyle changes transitioning through different stages of change. Stroke prevention education and interventions from experts would be helpful later in the rehabilitation phase (once at home) and adopting a patient-family centered approach may assist stroke survivors and their caregivers in the uptake of secondary stroke prevention activities.Implications for rehabilitationStroke is perceived as a soul searching experience by stroke survivors and their caregivers motivating them to enquire its causes and adopting lifestyle changes to prevent a future stroke.Despite experiencing some barriers, stroke survivors adopted lifestyle changes transitioning through different stages of change.Stroke prevention education and interventions from experts would be helpful later in the rehabilitation phase (once at home).Adopting a patient-family centered approach may assist stroke survivors and their caregivers in the uptake of secondary stroke prevention activities.
：探讨在中风康复早期，中风幸存者及其照顾者对参与二级预防活动的感知障碍和促进因素的变化：我们对中风幸存者及其家庭成员进行了两次单独访谈（出院后 2 周和 6 个月）。采用目的抽样法，从两家急性护理医院的中风病房招募参与者。：研究共有 11 名男性和 8 名女性中风幸存者和 9 名照顾者参加。主题分析确定了三个主题。（1）“灵魂探索”表明，中风令人焦虑，导致灵魂探索，探索其原因，采取健康的生活方式；（2）“旧习惯难改”揭示了中风幸存者在采取健康生活方式改变方面遇到的障碍；（3）“重新开始”认识到参与者有动力使他们的生活方式更健康，并且在过去的 6 个月中大多数人维持了一些生活方式的改变。：尽管面临一些障碍，中风幸存者还是通过不同的改变阶段过渡，采取了生活方式的改变。在康复阶段（一旦在家），来自专家的中风预防教育和干预措施将很有帮助，采用以患者为中心的家庭方法可能有助于中风幸存者及其照顾者接受二级中风预防活动。
中风被中风幸存者及其照顾者视为灵魂探索的经历，促使他们询问其原因，并采取生活方式的改变来预防未来的中风。尽管面临一些障碍，中风幸存者还是通过不同的改变阶段过渡，采取了生活方式的改变。在康复阶段（一旦在家），来自专家的中风预防教育和干预措施将很有帮助。采用以患者为中心的家庭方法可能有助于中风幸存者及其照顾者接受二级中风预防活动。
