Background. Stroke patients may have cognitive deficits and physical disturbance that result in burdens on families and society. The impact of stroke on the emotional outcome of patients is large. Physical rehabilitation after stroke is often promoted, while psycho-social factors are often neglected. Therefore, there is a need to explore the impact on the psychological reactions of hospitalised patients following a stroke.
Aim. To understand the psychological reactions of hospitalised patients after stroke.
Method. A qualitative approach was used. A total of 14 patients who had an intracerebral infarction were recruited from four hospitals in the south of Taiwan. Altogether, 28 semistructured interviews were conducted with hospitalised patients. NUD*IST software were used to manage and present findings.
Findings. Qualitative analysis resulted in the identification of patients' reactions which were categorised into two themes: “loss-related psychological reactions”: distress; loss of control; worthlessness; anger; worry; anxiety; and depression; and “gain-related psychological reactions”: feeling valued; feeling of courage; feeling of hope; and feeling of self-confidence.
Conclusion. The psychological reactions to stroke were complex dynamic responses that were impacted by both the personal physical and social environment conditions.
Relevance to clinical practice. These findings could help nurses to understand how stroke patients felt during hospitalisation and help nurses to work effectively with them to enhance stroke nursing care.
|Title of host publication||International Journal of Qualitative Methods|
|Subtitle of host publication||Posters presented at the 7th Advances in Qualitative Methods International Conference Surfers Paradise, Queensland, Australia 13–16 July 2006|
|Publication status||Published - 1 Sep 2006|