A qualitative exploration of acute stroke patients' experiences with aphasia in Korea.

Purpose: This study aimed to explore the lived experiences of patients with acute stroke-related aphasia within the Korean healthcare context. Methods: A qualitative research design using inductive content analysis was employed, following the Consolidated Criteria for Reporting Qualitative Research...

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Publicado en:Journal of Korean Academy of Nursing Vol. 55; no. 4; pp. 621 - 634
Autores principales: Kang, Jiyeon, Heo, Hyunyoung
Formato: research tables/charts Journal Article
Publicado: Korean Society of Nursing Science Nov2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2025
      vid: 55
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      pub: Korean Society of Nursing Science
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        atl: A qualitative exploration of acute stroke patients' experiences with aphasia in Korea.
      aug:
        au:
          Kang, Jiyeon
          Heo, Hyunyoung
        affil: College of Nursing, Dong-A University, Busan, Korea
      sug:
        subj:
          Stroke Patients Psychosocial Factors
          Stroke Complications
          Acute Disease
          Aphasia Risk Factors
          Life Experiences Evaluation
          Attitude to Illness Evaluation
          Human
          Male
          Female
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          South Korea
          Qualitative Studies
          Interview Guides
          Checklists
          Purposive Sample
          Theoretical Sample
          Semi-Structured Interview
          Audiorecording
          Content Analysis
          Descriptive Statistics
          Funding Source
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Purpose: This study aimed to explore the lived experiences of patients with acute stroke-related aphasia within the Korean healthcare context. Methods: A qualitative research design using inductive content analysis was employed, following the Consolidated Criteria for Reporting Qualitative Research guidelines. Fourteen adults with acute stroke-related aphasia participated in one-on-one, in-depth interviews conducted between January and May 2025. Participants were recruited through purposive sampling until theoretical saturation was reached. Data were analyzed using an inductive qualitative content analysis approach. Results: Five main categories emerged: "suddenly trapped in silence" described the abrupt loss of language, including the inability to articulate intended words and understand others; "emotional impact" captured psychological shock and feelings of loss; "communication crisis" encompassed expressive difficulties, exclusion from decision-making, and social withdrawal; "patient-centered interaction" highlighted supportive communication, empathic care, and active engagement by others; and "emerging hope" reflected signs of recovery, self-directed efforts, and anticipation of improvement. These categories converged into the overarching theme, "communication beyond language," illustrating how patients sought meaningful interaction despite linguistic limitations. Conclusion: Acute aphasia extends beyond a language disorder to encompass profound emotional and social experiences. Although communication barriers exist, meaningful interaction remains possible through empathetic, person-centered approaches. Healthcare professionals should recognize that patients with aphasia retain cognitive competence despite expressive limitations. These findings underscore the need to integrate emotional sensitivity into clinical care and to develop training programs that enhance person-centered communication skills in stroke rehabilitation settings.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: Korean
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