Psychosocial Adaptation Following Stroke: Perceptions of Older People in Taiwan

Hui-Man Huang, Brendan McCormack, W.George Kernohan

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review


Background. The impact of stroke on the emotional and psycho-social status of patients is significant. The theory and knowledge relating to the consequences of a stroke and the psycho-social needs of patients with stroke are becoming increasingly important. To date, there appear to be relatively few qualitative-based studies relating to stroke patients' psycho-social adaptation processes that shed light on this topic.

Aim. The aim of this paper is to understand hospitalised stroke patients and their perceptions of their psycho-social adaptation.

Method. A total of fourteen patients who had an intracerebral infarction were interviewed using semistructured interviews on two occasions. Barrett's power theory was used to help organise and summarise interview data. NUD*IST software and cognitive mapping were used to manage and present findings.

Findings. The central phenomena that emerged from the interviewed data was “Psycho-social adaptation following a stroke.” Other main categories linked to and embraced within this phenomena were: function of social support; perception of family support; nature of awareness; type of choices; degree of freedom; manner of involvement; gain-related psychological reactions; and loss-related psychological reactions.

Conclusion. A meaningful future for stroke patients depends on their psycho-social adaptation, which can be achieved through having them actively involved in their recovery and through the receipt of focused support. The findings support the conceptualisation of psycho-social adaptation of stroke patients based on Barrett's power theory.

Relevance to clinical practice. If nurses have an understanding of patients' psycho-social adaptation processes following a stroke during hospitalisation, they can help to incorporate patients' internal strength and external resources into the plan of care, thus providing effective psycho-social support and person-centred care.
Original languageEnglish
Title of host publicationInternational Journal of Qualitative Methods
Subtitle of host publicationPosters presented at the 7th Advances in Qualitative Methods International Conference Surfers Paradise, Queensland, Australia 13–16 July 2006
PublisherSAGE Publications
Publication statusPublished - 1 Sep 2006


  • stroke


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