Cruz Gonzalez Pablo, Koh Tingyuan, Ng Matthew Hok Shan, Ibrahim Myra Jasmine, Chan Mun Yu, Lie Eloise, Chua Karen Sui Geok, Liang Phyllis
Rehabilitation Research Institute of Singapore, Nanyang Technological University, Singapore.
Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore.
Prev Med Rep. 2025 Aug 13;58:103201. doi: 10.1016/j.pmedr.2025.103201. eCollection 2025 Oct.
People living with stroke (PLWS) must cope effectively to facilitate the ideal conditions for adjustment and rehabilitation. Cultural values can greatly shape how an individual may cope and adjust to these changes. Considering the absence of published literature documenting how PLWS cope in the local Singaporean context, it becomes crucial to explore the emotional dimensions and cultural factors that shape their experiences. This study aimed to delve into the emotional aspects of PLWS, elucidating the lived experiences and understanding their coping approaches for post-stroke adjustment.
This study used a qualitative phenomenological approach with semi-structured interviews in Singapore (February 2020-March 2022) among twelve first-stroke participants discussing life changes, emotions, and coping strategies post-stroke. Thematic analysis was conducted.
Four main themes emerged: 1) Internal emotional experiences amidst adversity and uncertainty; 2) Relational experiences of dependency and external support; 3) Age-related differences in experiences of peer support; 4) The importance of self.
PLWS in Singapore face unique emotional challenges influenced by local cultural values, emphasizing self-responsibility and self-management. Younger individuals struggle with unmet social and employment needs, while older individuals experience fewer such issues. Enhancing mental health support, promoting self-management, and increasing employer awareness could improve emotional adjustment and coping in post-stroke recovery. Addressing both psychosocial and cultural factors through targeted interventions and policy initiatives could help prevent post-stroke-related medical conditions in Southeast Asia. A comprehensive approach integrating holistic healthcare, supportive workplace policies, and community-based resources may facilitate better post-stroke adjustment and, in turn, improve long-term health outcomes.
中风患者必须有效应对，以创造有利于适应和康复的理想条件。文化价值观会极大地影响个体应对和适应这些变化的方式。鉴于缺乏关于新加坡本地中风患者应对方式的文献报道，探索塑造他们经历的情感维度和文化因素就变得至关重要。本研究旨在深入探究中风患者的情感方面，阐明他们的生活经历，并了解他们中风后适应的应对方法。
本研究采用定性现象学方法，于2020年2月至2022年3月在新加坡对12名首次中风患者进行了半结构化访谈，讨论中风后的生活变化、情绪和应对策略。进行了主题分析。
出现了四个主要主题：1）在逆境和不确定性中的内在情感体验；2）依赖和外部支持的关系体验；3）同伴支持体验中的年龄差异；4）自我的重要性。
新加坡的中风患者面临着受当地文化价值观影响的独特情感挑战，这些价值观强调自我责任和自我管理。年轻人在社会和就业需求未得到满足方面苦苦挣扎，而老年人遇到的此类问题较少。加强心理健康支持、促进自我管理以及提高雇主意识，可改善中风后恢复过程中的情感适应和应对能力。通过有针对性的干预措施和政策举措解决心理社会和文化因素，有助于预防东南亚地区与中风相关的疾病。综合采用整体医疗保健、支持性工作场所政策和社区资源的全面方法，可能有助于更好地进行中风后调整，进而改善长期健康结果。
