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Gateway to Recovery: A Comparative Analysis of Stroke Patients’ Experiences of Change and Learning in Norway and Denmark

机译:恢复的门户:挪威和丹麦的中风患者变革与学习经验的比较分析

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Objectives. The recovery process is reported by stroke survivors to be a change process fraught with crises and hazard. Interaction with health professionals and others may play a central role in establishing renewed control over life. Research Questions. (1) How do patients handle and overcome experienced changes after stroke? (2) How do they experience the support to handle these changes during the first year after stroke? (3) How do the similarities and differences transpire in Danish and Norwegian contexts? Methodology. A qualitative method was chosen. Six patients from Denmark and five patients from Norway (aged 25-66) were followed up until one year after stroke, by way of individual interviews. The data were analyzed (using NVivo 11) by means of phenomenological analysis. Findings. The participants described four main issues in the recovery process that impacted the experienced changes: (i) strategies and personal factors that promote motivation, (ii) the involvement of family, social network, and peers, (iii) professionals’ support, and (iv) social structures that limit the recovery process. There was a diversity of professional support and some interesting variations in findings about factors that affected recovery and the ability to manage a new life situation between Central Denmark and Northern Norway. Both Norwegian and Danish participants experienced positive changes and progress on the bodily level, as well as in terms of activity and participation. Furthermore, they learned how to overcome limitations, especially in bodily functions and daily activities at home. Unfortunately, progress or support related to psychosocial rehabilitation was almost absent in the Norwegian data.
机译:目标。中风幸存者报告了恢复过程,以成为危机和危害的变化过程。与卫生专业人士和其他人的互动可能在建立对生活的重新控制方面发挥着核心作用。研究问题。 (1)患者如何处理和克服中风后的变化? (2)他们如何在中风后的第一年来处理这些变化的支持? (3)丹麦和挪威语境中的异同和差异如何传输?方法。选择了定性方法。通过个别访谈,丹麦丹麦和挪威五名患者(年龄25-66岁)的患者进行了随访,直至一年。通过现象学分析分析(使用NVIVO 11)的数据。发现。参与者描述了恢复过程中的四个主要问题,影响了经验丰富的变革:(i)促进动机的战略和个人因素,(ii)家庭,社会网络和同行的参与,(iii)专业人员的支持,( iv)限制恢复过程的社会结构。有多样性的专业支持以及关于影响康复和管理中部丹麦和挪威北部的新生活情况的能力的影响因素的一些有趣的变化。挪威和丹麦参与者都经历了积极的变化和身体级别的进展,以及活动和参与。此外,他们学会了如何克服局限性,特别是在家里的身体功能和日常活动中。不幸的是,与心理社会康复有关的进步或支持几乎缺席挪威数据。

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