Supporting self-management in adults after stroke - synthesis of qualitative studies

Romana Bečvářová, Elena Gurková

Supporting self-management in adults after stroke - synthesis of qualitative studies

Číslo: 4/2024
Periodikum: Central European Journal of Nursing and Midwifery
DOI: 10.15452/cejnm.2024.15.0026

Klíčová slova: lived experience, patient experience, qualitative, self-management, stroke

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Anotace: Aim: The aim of the review was to identify, analyse and synthesise the results of qualitative studies focusing on patients’ experiences of self-management after stroke. The research question according to the Participants, Phenomenon of Interest, Context format was as follows: What are patients’ experiences of self-management after stroke? Design: A literature review aimed at synthesising the findings of qualitative studies was conducted in accordance with the Enhancing Transparency in Reporting the Synthesis of Qualitative Research statement.

Methods: Qualitative studies were searched in the EBSCO, PubMed and Web of Science databases in November 2023. Searching and sorting followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guideline. The methodological quality of the included studies was assessed using the Critical Appraisal Skills Programme. According to these criteria, 1072 studies were retrieved. Eight studies were included in the review.

Results: The analysis of the eight qualitative studies revealed four themes: understanding the meaning of self-management; individual capacity and readiness; needs; and resources and supports in this area. The fourth theme includes five subthemes: family, healthcare professionals, peers, environment, and technology.

Conclusion: Findings can inform routine practice to develop self-management support after stroke. Self-management support can enable stroke survivors and their families to take control of their long-term condition, from diagnosis to living with the disease.