Kontakt 2023, 25(3):225-234 | DOI: 10.32725/kont.2023.029

Young adults' experience of ischemic stroke - a qualitative research synthesisSocial Sciences in Health - Review article

Elena Gurková, Lenka Štureková, Šárka Šaňáková, Daniela Bartoníčková *, Petra Mandysová
Palacký University Olomouc, Faculty of Health Sciences, Department of Nursing, Olomouc, Czech Republic

Aim: To report a synthesis of evidence presented in qualitative studies related to the experience of living with ischemic stroke in young patients.

Design: A research synthesis of qualitative studies. The ENTREQ statement was followed to enhance transparency in reporting the synthesis of qualitative research.

Methods: The electronic databases CINAHL Plus (EBSCO), MEDLINE (OvidSP), PsycInfo (EBSCO), ScienceDirect (Elsevier), SocINDEX (EBSCO), Web of Science Core Collection and ProQuest Science Database were used to gather data for a review of qualitative studies, yielding 5,785 sources. The methodological quality of studies was reviewed using the Critical Appraisal Skills Programme Qualitative Research Checklist. In total, seven sources were included in this literature review, focused on young adults' experience of ischemic stroke.

Results: Stroke at a young age can cause a disruption of three domains: disruption of self and self-identity, social disruption, and disruption of close personal relationships. On the other hand, three analytical themes related to coping strategies or personal challenges have been found: re-establishing a new self, re-establishing a social role, and relationship help.

Conclusion: The findings of our review can provide a deeper insight into understanding the experience of a stroke at a younger age and their age-appropriate needs in the long-term rehabilitation process.

Keywords: Ischemic stroke; Patient experience; Qualitative research; Thematic synthesis; Young adult
Grants and funding:

This study was funded by the Ministry of Health, Czech Republic (grant AZV MZ CR number NU22-09-00021). The review was conducted as a part of the research project the FRAILTY study (Factors Affecting the Quality of Life After Ischemic Stroke in Young Adults), registered on ClinicalTrials.gov (NCT04839887).

Conflicts of interest:

The authors have no conflict of interest to declare.

Received: March 28, 2023; Revised: March 28, 2023; Accepted: July 28, 2023; Prepublished online: August 10, 2023; Published: September 21, 2023  Show citation

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Gurková E, Štureková L, Šaňáková Š, Bartoníčková D, Mandysová P. Young adults' experience of ischemic stroke - a qualitative research synthesis. Kontakt. 2023;25(3):225-234. doi: 10.32725/kont.2023.029.
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References

  1. Benjamin EJ, Blaha MJ, Chiuve SE, Cushman M, Das SR, Deo R, et al. (2017). Heart Disease and Stroke Statistics-2017 Update: A Report from the American Heart Association. Circulation 135(10): e146-e603. DOI: 10.1161/CIR.0000000000000485. Go to original source... Go to PubMed...
  2. Bury M (1982). Chronic illness as biographical disruption. Soc Health Illn 4(2): 167-182. DOI: 10.1111/1467-9566.ep11339939. Go to original source... Go to PubMed...
  3. CASP - Critical Appraisal Skills Programme (2018). CASP qualitative checklist. [online] [cit. 2022-05-12]. Available from: https://casp-uk.net/images/checklist/documents/CASP-Qualitative-Studies-Checklist/CASP-Qualitative-Checklist-2018_fillable_form.pdf
  4. Daniel K, Wolfe CDA, Busch MA, McKevitt C (2009). What Are the Social Consequences of Stroke for Working-Aged Adults? Stroke 40(6): e431-e440. DOI: 10.1161/STROKEAHA.108.534487. Go to original source... Go to PubMed...
  5. Edwards JD, Kapoor A, Linkewich E, Swartz RH (2018). Return to work after young stroke: A systematic review. Int J Stroke 13(3): 243-256. DOI: 10.1177/1747493017743059. Go to original source... Go to PubMed...
  6. Ekker MS, Boot EM, Singhal AB, Tan KS, Debette S, Tuladhar AM, et al. (2018). Epidemiology, aetiology, and management of ischaemic stroke in young adults. Lancet Neurol 17(9): 790-801. DOI: 10.1016/S1474-4422(18)30233-3. Go to original source... Go to PubMed...
  7. Feigin VL, Norrving B, Mensah GA (2017). Global Burden of Stroke. Circ Res 120(3): 439-448. DOI: 10.1161/CIRCRESAHA.116.308413. Go to original source... Go to PubMed...
  8. Guo Y, Zhang Z, Lin B, Mei Y, Liu Q, Zhang L, et al. (2021). The Unmet Needs of Community-Dwelling Stroke Survivors: A Systematic Review of Qualitative Studies. Int J Environ Res Public Health 18(4): 2140. DOI: 10.3390/ijerph18042140. Go to original source... Go to PubMed...
  9. Hanney J (2012). The experience of mild stroke among young adults and their spouses: an interpretative phenomenological analysis. [online] [cit. 2023-01-22]. Available from: https://core.ac.uk/download/pdf/297015134.pdf
  10. Harris GM, Prvu Bettger J (2018). Parenting after stroke: a systematic review. Top Stroke Rehabil 25(5): 384-392. DOI: 10.1080/10749357.2018.1452366. Go to original source... Go to PubMed...
  11. Holloway A, Chandler C, Aviles Reinso L, Clarissa C, Putri A, Choi H, et al. (2022). Young Adults Rehabilitation Needs and Experiences following Stroke (YARNS): A review of digital accounts to inform the development of age-appropriate support and rehabilitation. J Adv Nurs 78(3): 869-882. DOI: 10.1111/jan.15076. Go to original source... Go to PubMed...
  12. Hutton L, Ownsworth T (2019). A qualitative investigation of sense of self and continuity in younger adults with stroke. Neuropsychol Rehabil 29(2): 273-288. DOI: 10.1080/09602011.2017.1292922. Go to original source... Go to PubMed...
  13. Immenschuh U (2003). "My arm and leg- they are just sleeping". Perspectives of younger people on their experience of having a stroke. [PhD dissertation]. Edinburgh: University of Edinburgh.
  14. Kuluski K, Dow C, Locock L, Lyons RF, Lasserson D (2014). Life interrupted and life regained? Coping with stroke at ayoung age. Int J Qual Stud Health Well-being 23(9): 22252. DOI: 10.3402/qhw.v9.22252. Go to original source... Go to PubMed...
  15. Lawrence M (2010). Young adults' experience of stroke: a qualitative review of the literature. Br J Nurs 19(4): 241-248. DOI: 10.12968/bjon.2010.19.4.46787. Go to original source... Go to PubMed...
  16. Leahy DM, Desmond D, Coughlan T, O'Neill D, Collins DR (2016). Stroke in young women: An interpretative phenomenological analysis. J Health Psychol 21(5): 669-678. DOI: 10.1177/1359105314535125. Go to original source... Go to PubMed...
  17. McKevitt C, Redfern J, Mold F, Wolfe C (2004). Qualitative studies of stroke: a systematic review. Stroke 35(6): 1499-1505. DOI: 10.1161/01.STR.0000127532.64840.36. Go to original source... Go to PubMed...
  18. Morris R (2011). The psychology of stroke in young adults: the roles of service provision and return to work. Stroke Res Treat 2011: 534812. DOI: 10.4061/2011/534812. Go to original source... Go to PubMed...
  19. Opoku S, Eliason C, Akpalu A (2020).Why Me?: A Qualitative Study on the Experiences of Young Stroke Survivors in the Accra Metropolis of Ghana, West Africa. J Patient Exp 7(6): 1788-1796. DOI: 10.1177/2374373520967505. Go to original source... Go to PubMed...
  20. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ 372: n71. DOI: 10.1136/bmj.n71. Go to original source... Go to PubMed...
  21. Putaala J (2016). Ischemic stroke in the young: Current perspectives on incidence, risk factors, and cardiovascular prognosis. Eur Stroke J 1(1): 28-40. DOI: 10.1177/2396987316629860. Go to original source... Go to PubMed...
  22. Salter K, Hellings C, Foley N, Teasell R (2008). The experience of living with stroke: a qualitative meta-synthesis. J Rehabil Med 40(8): 595-602. DOI: 10.2340/16501977-0238. Go to original source... Go to PubMed...
  23. Satink T, Cup EH, Ilott I, Prins J, de Swart BJ, Nijhuis-van der Sanden MW (2013). Patients' views on the impact of stroke on their roles and self: a thematic synthesis of qualitative studies. Arch Phys Med Rehabil 94(6): 1171-1183. DOI: 10.1016/j.apmr.2013.01.011. Go to original source... Go to PubMed...
  24. Shipley J, Luker J, Thijs V, Bernhardt J (2020). How can stroke care be improved for younger service users? A qualitative study on the unmet needs of younger adults in inpatient and outpatient stroke care in Australia. Disabil Rehabil 42(12): 1697-1704. DOI: 10.1080/09638288.2018.1534278. Go to original source... Go to PubMed...
  25. Thomas J, Harden A (2008). Methods for the thematic synthesis of qualitative research in systematic reviews. BMC Med Res Methodol 8: 45. DOI: 10.1186/1471-2288-8-45. Go to original source... Go to PubMed...
  26. Tong A, Flemming K, McInnes E, Oliver S, Craig J (2012). Enhancing transparency in reporting the synthesis of qualitative research: ENTREQ. BMC Med Res Methodol 12: 181. DOI: 10.1186/1471-2288-12-181. Go to original source... Go to PubMed...
  27. Wolfenden B, Grace M (2015). Vulnerability and Post-Stroke Experiences of Working-Age Survivors During Recovery. SAGE Open 5(4). DOI: 10.1177/2158244015612877. Go to original source...
  28. Yahya T, Jilani MH, Khan SU, Mszar R, Hassan SZ, Blaha MJ, et al. (2020). Stroke in young adults: Current trends, opportunities for prevention and pathways forward. Am J Prev Cardiol 3: 100085. DOI: 10.1016/j.ajpc.2020.100085. Go to original source... Go to PubMed...

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