重塑中风后的生活：一个有根据的理论

IF 3.1 Q1 NURSING

International Journal of Nursing Studies Advances Pub Date : 2025-05-10 DOI:10.1016/j.ijnsa.2025.100348

Dagmar J.J. van Nimwegen , Sigrid C.J.M. Vervoort , Johanna M.A. Visser-Meily , Lisette Schoonhoven , Janneke M. de Man-van Ginkel

{"title":"重塑中风后的生活：一个有根据的理论","authors":"Dagmar J.J. van Nimwegen , Sigrid C.J.M. Vervoort , Johanna M.A. Visser-Meily , Lisette Schoonhoven , Janneke M. de Man-van Ginkel","doi":"10.1016/j.ijnsa.2025.100348","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Stroke patients often experience different consequences, negatively impacting their psychosocial well-being. Since every patient has their individual process and their individual needs, providing personalised stroke care is difficult. Determining what is needed in stroke care is crucial to optimize well-being after stroke.</div></div><div><h3>Objective</h3><div>To gain understanding of how patients experience the process they go through, which psychosocial needs they experience, and whether the current stroke care matches this process.</div></div><div><h3>Methods</h3><div>A qualitative study according to the methodology of Grounded Theory, by conducting semi-structured interviews with ten stroke patients who were receiving stroke care in a stroke service.</div></div><div><h3>Results</h3><div>Patients after stroke go through a basic social process of reshaping life which was characterized by two perspectives – feeling lost and rediscovering yourself. These perspectives could be refined on several themes: focusing on capabilities; setting goals; experiencing emotions; feeling heard or understood; and finding meaning in life. The following themes influence this process: help and understanding from patients’ network; patients’ needs being met in stroke care; and support and motivation from other patients.</div></div><div><h3>Conclusions</h3><div>Healthcare professionals could use the found process of reshaping life to determine for each patient where they find themselves within this process. They can use this to determine which needs patients experience, and how they can match these needs to support patients in reshaping life to improve patients’ psychosocial well-being after stroke.</div></div><div><h3>Funding and registration</h3><div>This study was supported by the Taskforce for Applied Research SIA (RAAK.PUB04.010) and was registered at the Dutch Trial Register (NL7440).</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100348"},"PeriodicalIF":3.1000,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Reshaping life after stroke: a grounded theory\",\"authors\":\"Dagmar J.J. van Nimwegen , Sigrid C.J.M. Vervoort , Johanna M.A. Visser-Meily , Lisette Schoonhoven , Janneke M. de Man-van Ginkel\",\"doi\":\"10.1016/j.ijnsa.2025.100348\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>Stroke patients often experience different consequences, negatively impacting their psychosocial well-being. Since every patient has their individual process and their individual needs, providing personalised stroke care is difficult. Determining what is needed in stroke care is crucial to optimize well-being after stroke.</div></div><div><h3>Objective</h3><div>To gain understanding of how patients experience the process they go through, which psychosocial needs they experience, and whether the current stroke care matches this process.</div></div><div><h3>Methods</h3><div>A qualitative study according to the methodology of Grounded Theory, by conducting semi-structured interviews with ten stroke patients who were receiving stroke care in a stroke service.</div></div><div><h3>Results</h3><div>Patients after stroke go through a basic social process of reshaping life which was characterized by two perspectives – feeling lost and rediscovering yourself. These perspectives could be refined on several themes: focusing on capabilities; setting goals; experiencing emotions; feeling heard or understood; and finding meaning in life. The following themes influence this process: help and understanding from patients’ network; patients’ needs being met in stroke care; and support and motivation from other patients.</div></div><div><h3>Conclusions</h3><div>Healthcare professionals could use the found process of reshaping life to determine for each patient where they find themselves within this process. They can use this to determine which needs patients experience, and how they can match these needs to support patients in reshaping life to improve patients’ psychosocial well-being after stroke.</div></div><div><h3>Funding and registration</h3><div>This study was supported by the Taskforce for Applied Research SIA (RAAK.PUB04.010) and was registered at the Dutch Trial Register (NL7440).</div></div>\",\"PeriodicalId\":34476,\"journal\":{\"name\":\"International Journal of Nursing Studies Advances\",\"volume\":\"8 \",\"pages\":\"Article 100348\"},\"PeriodicalIF\":3.1000,\"publicationDate\":\"2025-05-10\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Nursing Studies Advances\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2666142X25000554\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Nursing Studies Advances","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2666142X25000554","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}

引用次数: 0

摘要

脑卒中患者通常会经历不同的后果，对他们的社会心理健康产生负面影响。由于每个病人都有自己的治疗过程和需求，提供个性化的中风护理是很困难的。确定中风护理中需要什么对于优化中风后的健康至关重要。目的了解脑卒中患者是如何经历这一过程的，他们经历了哪些心理社会需求，以及目前的脑卒中护理是否符合这一过程。方法采用扎根理论的定性研究方法，对10例在某脑卒中服务机构接受脑卒中治疗的患者进行半结构化访谈。结果脑卒中患者经历了一个重塑生活的基本社会过程，这一过程主要表现为两种视角：感觉失落和重新发现自我。这些观点可以在以下几个主题上加以改进：关注能力；设定目标;经历的感情;感觉被倾听或被理解；寻找生活的意义。以下主题影响这一过程：来自患者网络的帮助和理解；患者在卒中护理中的需求得到满足；以及其他病人的支持和激励。结论医疗保健专业人员可以利用重塑生活的发现过程来确定每个患者在这个过程中发现自己的位置。他们可以利用这一点来确定患者有哪些需求，以及他们如何匹配这些需求，以支持患者重塑生活，改善中风后患者的社会心理健康。本研究由应用研究特别工作组SIA （RAAK.PUB04.010）支持，并在荷兰试验登记册（NL7440）注册。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Reshaping life after stroke: a grounded theory

Background

Stroke patients often experience different consequences, negatively impacting their psychosocial well-being. Since every patient has their individual process and their individual needs, providing personalised stroke care is difficult. Determining what is needed in stroke care is crucial to optimize well-being after stroke.

Objective

To gain understanding of how patients experience the process they go through, which psychosocial needs they experience, and whether the current stroke care matches this process.

Methods

A qualitative study according to the methodology of Grounded Theory, by conducting semi-structured interviews with ten stroke patients who were receiving stroke care in a stroke service.

Results

Patients after stroke go through a basic social process of reshaping life which was characterized by two perspectives – feeling lost and rediscovering yourself. These perspectives could be refined on several themes: focusing on capabilities; setting goals; experiencing emotions; feeling heard or understood; and finding meaning in life. The following themes influence this process: help and understanding from patients’ network; patients’ needs being met in stroke care; and support and motivation from other patients.

Conclusions

Healthcare professionals could use the found process of reshaping life to determine for each patient where they find themselves within this process. They can use this to determine which needs patients experience, and how they can match these needs to support patients in reshaping life to improve patients’ psychosocial well-being after stroke.