Opoku Sussana, Eliason Cecilia, Akpalu Albert
Department of Nursing, Narh-Bita College, Tema, Ghana.
University of Ghana, School of Nursing, Accra, Ghana.
J Patient Exp. 2020 Dec;7(6):1788-1796. doi: 10.1177/2374373520967505. Epub 2020 Oct 27.
Young stroke survivors are affected gravely when diagnosed with stroke between the ages of 18 to 45 years. The psychological and social effects of young stroke require stringent coping factors geared toward recovery and regeneration of self. A qualitative exploratory design was used to explore coping experiences and purposive sampling technique was employed to recruit 10 participants. Data were collected using tape recorded interviews which lasted between 45 minutes to 1 hour 30 minutes and guided by a semistructured interview guide which was informed by the research objectives and literature review. Thematic content analysis was used to analyze the transcribed data and 6 themes namely: psychological disruption, disruption to social identity, spiritual practices and beliefs, self-determination, support, and herbal medicine were derived. These themes gave insight into how these young stroke victims experienced and coped with physical signs and symptoms which negatively impacted their activities of daily living and resulted in social isolation, fear, anxiety, depression, guilt, and suicidal ideations. Provision of continuity of care for young adults living with stroke is highly recommended.
18至45岁之间被诊断为中风的年轻中风幸存者会受到严重影响。年轻中风的心理和社会影响需要严格的应对因素,以促进自我恢复和再生。采用定性探索性设计来探索应对经历,并采用目的抽样技术招募了10名参与者。通过录音访谈收集数据,访谈持续45分钟至1小时30分钟,并由一份半结构化访谈指南指导,该指南基于研究目标和文献综述制定。采用主题内容分析法对转录数据进行分析,得出了6个主题,即心理紊乱、社会身份紊乱、精神实践与信仰、自我决定、支持和草药。这些主题深入了解了这些年轻中风受害者如何体验和应对身体体征和症状,这些体征和症状对他们的日常生活活动产生了负面影响,并导致了社会隔离、恐惧、焦虑、抑郁、内疚和自杀念头。强烈建议为中风的年轻成年人提供持续护理。