University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
School of Law, Psychology and Social Work, Örebro University, Örebro, Sweden.
Int J Qual Stud Health Well-being. 2022 Dec;17(1):2119676. doi: 10.1080/17482631.2022.2119676.
Resilience contributes to positive adaptation after many health conditions, but little is known about its contribution to long-term recovery after stroke. This study investigated the lived experience of resilience and participation and their relationship to quality of life after stroke in Sweden.
Semi-structured telephone interviews were conducted with 19 informants (10 male, 9 female), aged from 44-89 years and between 1 and 19 years post-stroke. Stroke severity ranged from mild (n = 8), moderate (n = 9) to severe (n = 2). Interviews were analysed using content analysis.
The analysis resulted in an overarching theme; , built on five subthemes: 1) Adapting and adjusting life, 2) Meaningful values in life, 3) Inner resources, 4) Support and treatment from social relations, and 5) Support and treatment from external resources.
Participants described a tension between adapting and accepting life after stroke. Resilience was a useful framework, highlighting the contribution of inner, social and societal resources to recovery and quality of life, both directly and as enhanced through increased participation. Important factors for adaptation are meaningful values in life, individual strategies for adaptation and support from both social relationship and the society.
韧性有助于许多健康状况后的积极适应，但对于其对中风后长期康复的贡献知之甚少。本研究调查了瑞典中风后韧性和参与感的生活体验及其与生活质量的关系。
对 19 名年龄在 44-89 岁、中风后 1-19 年的参与者（男性 10 名，女性 9 名）进行了半结构式电话访谈。中风严重程度从轻（n=8）到中（n=9）到重（n=2）不等。使用内容分析法对访谈进行分析。
分析产生了一个总体主题，建立在五个子主题之上：1）适应和调整生活，2）生活中的有意义的价值观，3）内在资源，4）来自社会关系的支持和治疗，以及 5）来自外部资源的支持和治疗。
参与者描述了中风后适应和接受生活之间的紧张关系。韧性是一个有用的框架，突出了内在、社会和社会资源对恢复和生活质量的贡献，包括直接贡献和通过增加参与度而增强的贡献。适应的重要因素是生活中的有意义的价值观、个人适应策略以及来自社会关系和社会的支持。
