Experience of the patient's success in facing post-stroke urinary incontinence: the patient's perspective

Abstract

Objective Post-stroke urinary incontinence (UI) is one of the sequelae of stroke. This situation affects all aspects of the patient's life – physically, psychologically, socially, and spiritually. This study aimed to investigate the experience of patients’ success in facing a post-stroke UI. Methods A qualitative study using the Rapid Assessment Procedure (RAP) approach was used in this study. Informants were selected using purposive sampling. In-depth interviews with as many as 8 patients who had recovered from post-stroke UI and living in the greater area of Southeast Sulawesi (Indonesia) were conducted. In-depth interviews were also conducted with 8 caregivers and 2 nurses. Data were analyzed using a thematic analysis approach and interpretation of data was based on Humanbecoming theory and Self-care deficit theory of nursing. Results Five successful things the patients experienced during post-stroke UI were identified. The five successes were as follows: they provided information to get to know and understand post-stroke UI, followed the procedures to overcome post-stroke UI, conducted self-control exercises and stayed motivated, performed daily activities independently according to ability, and made use of family support and peers’ attention. Conclusions These findings indicated that persistence, belief, independence, and social support (family and peer) made patients to successfully face their post-stroke UI and improved their quality of life. These findings also became the basis for developing a post-stroke UI management model based on Humanbecoming theory and Self-care deficit theory of nursing.

Resilience after stroke and its correlation with functional independence

“…The active participation of the patient can improve the patient's functional ability (Heltty, 2022). Active participation can be achieved by cultivating enthusiasm within the patient to carry out activities (Heltty, 2021). This enthusiasm is part of resilience.…”

Patient, Family, and Peer Engagement in Nursing Care as an Effort to Improve the Functional Independence of Post-stroke Urinary Incontinence Patients: A Cross-Sectional Study

“…In addition to family, attention from peers who also experienced the same disease can help reduce feelings of isolation and fear, where peer interaction can be done by sharing experiences and providing information about the health services they need [ 14 ]. The results of our previous qualitative research found that the presence of peers in the patient care process made the informants (patients) feel happy and not alone in dealing with their illness, making the informants became more eager to recover [ 16 ]. This study aimed to investigate the relationship between patient, family, and peer involvement in nursing care to improve the functional independence of post-stroke UI patients.…”