Factors Related to Continuation of Health Behaviours among Stroke Survivors

Yuki, Toshiya; Kudo, Makoto

doi:10.1298/jjpta.vol14_001

Cited by 7 publications

(9 citation statements)

References 27 publications

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“…Health‐related lifestyle change after ischemic stroke and TIA is difficult to carry out successfully, and the majority of people fail to sustain lifestyle modification in the long term (Allison et al., 2008; Redfern et al., 2000). Patients' knowledge about risk factors for ischemic stroke or TIA is often poor (Croquelois & Bogousslavsky, 2006), and even when patients believe that their lifestyle is related to their stroke, they do not change their smoking or excessive alcohol drinking habits (Yuki & Kudo, 2011). Patients experience physical barriers such as pain, fatigue balance problems, or fear of falling.…”

Section: Introductionmentioning

confidence: 99%

Patient perspectives on health‐related behavior change after transient ischemic attack or ischemic stroke

et al. 2021

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Objective Unhealthy lifestyle is common among patients with ischemic stroke or TIA. Hence, health‐related behavior change may be an effective way to reduce stroke recurrence. However, this is often difficult to carry out successfully. We aimed to explore patients' perspectives on health‐related behavior change, support in this change, and sustain healthy behavior. Methods We conducted a descriptive qualitative study with in‐depth, semistructured interviews in eighteen patients with recent TIA or ischemic stroke. Interviews addressed barriers, facilitators, knowledge, and support of health‐related behavior change framed by the protection motivation theory. All interviews were transcribed and thematically analyzed. Results Patients seem unable to adequately appraise their own health‐related behavior. More than half of the patients were satisfied with their lifestyle and felt no urgency to change. Self‐efficacy as coping factor was the most important determinant (both barrier and facilitator). Fear as threat factor was named as facilitator for health‐related behavior change by half of the patients. Most of the patients did not need support or already received support in changing health behavior. Patients indicated knowledge, guidelines, and social support as most needed to support and preserve a healthy lifestyle. Conclusion This study suggests that patients with recent TIA or ischemic stroke often do not have a high intention to change health‐related behavior. The results fit well within the framework of the protection motivation theory. As many patients seem unable to adequately appraise their health behaviors, interventions should focus on increasing knowledge of healthy behavior and improving self‐efficacy and social support.

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Section: Introductionmentioning

confidence: 99%

Patient perspectives on health‐related behavior change after transient ischemic attack or ischemic stroke

et al. 2021

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“…Moreover, rehabilitees with changes in their health continued to participate in some goal setting situations, but others had to turn to professionals because of their uncertainty. Previous studies have shown similar findings, namely that severe illness has psychological consequences such as fear of another recurrent stroke or rapidly progressing illness and deterioration of motor function [35,36]. To diminish the feeling of fear, the rehabilitees and relatives need ample information about stroke pathology, the recovery prognosis and rehabilitation process, and encouragement to build up their confidence, even though they understood that a full recovery was unlikely [1].…”

Section: Discussionmentioning

confidence: 82%

Rehabilitees perspective on goal setting in rehabilitation – a phenomenological approach

Alanko

Karhula

Kröger

et al. 2018

Disability and Rehabilitation

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Rehabilitee commitment to rehabilitation can be supported with equality in communication and presence of relatives, while pain and uncertainty because of changed health limit participation in a goal setting situation. Implications for Rehabilitation Multidisciplinary rehabilitation professionals should be recommended to support the active role of a patient in the goal setting situation. Relatives are recommended to participate in goal setting situation as they are an important support for rehabilitees. Professionals should be recommended to remove obstacles that restrain patient's participation in the goal setting situation. Professionals should be recommended to recognize patients with changed health and offer psychosocial support for those in need to improve their participation in rehabilitation process.

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“…This guilt emanated from the present discovery that better decisions and actions may have prevented them from experiencing a stroke. Yuki and Kudo [30] also reported that stroke survivors recognise the likelihood that their previous way of life may be the reason for the stroke and identifying the need for preventing another stroke episode. Further stroke episodes can only be prevented when good healthseeking behaviour [31] is adopted by stroke survivors.…”

Section: Discussionmentioning

confidence: 99%

Exploring the life experiences of stroke survivors in Nigeria using the interpretive phenomenological analysis

et al. 2023

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Background The consequence of living as a stroke survivor has received significant attention in literature from different parts of the world. Enriching social relations and other factors are reported to influence the post-stroke experience. Differences in health systems, cultural factors and available resources have made it apt to explore the experience of life after a stroke in Nigerian stroke survivors. This study explored the lived experiences of Nigerian adult stroke survivors, with a focus on their concerns, hopes, dreams and daily routine experiences. Methods This qualitative study employed a phenomenological approach based on in-depth interviews with stroke survivors. Interpretative phenomenological analysis was used to analyse the in-depth exploration of the personal experiences of these stroke survivors and the meanings they attached to that experience. Results The participants in this study described their experiences, emphasising both the visible loss of mobility and emotional issues related to their condition. Three superordinate themes were identified: (1) stroke presentation; (2) affect, coping, and adaptation; and (3) social supports. Conclusion The study concluded that the experience of Nigerian stroke survivors is unique as it is a blend of supportive and non-supportive care scenarios, which is greatly associated with environmental and other intrinsic variables. Post-stroke mobility strongly influences the overall stroke experience.

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Factors Related to Continuation of Health Behaviours among Stroke Survivors

Cited by 7 publications

References 27 publications

Patient perspectives on health‐related behavior change after transient ischemic attack or ischemic stroke

Patient perspectives on health‐related behavior change after transient ischemic attack or ischemic stroke

Rehabilitees perspective on goal setting in rehabilitation – a phenomenological approach

Exploring the life experiences of stroke survivors in Nigeria using the interpretive phenomenological analysis

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