A Longitudinal Qualitative Study of Resourcefulness Training Needs During the Hospital‐to‐Home Transition After Stroke in Young and Middle‐Aged Adults.
Introduction: Resourcefulness training (RT) supports stroke recovery by improving coping strategies and self‐management. Recognising the need for such training is crucial for providing targeted transitional care. We aimed to explore the evolving need for RT among young and middle‐aged stroke survivo...
| Publicado en: | Health Expectations Vol. 28; no. 6; pp. 1 - 13 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Dec2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=190444480&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 190444480 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13696513 EVY jtl: Health Expectations issn: 13696513 maglogo: Y pubinfo: dt: Dec2025 vid: 28 iid: 6 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 190444480 190444480 190444480 10.1111/hex.70462 190444480 ppf: 1 ppct: 12 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: A Longitudinal Qualitative Study of Resourcefulness Training Needs During the Hospital‐to‐Home Transition After Stroke in Young and Middle‐Aged Adults. aug: au: Sun, Juan Li, Yali Wang, Yongmei Du, Yilin Shen, Hui Zhang, Sijia Wang, Hongru Zhang, Huimin affil: Xinxiang Medical University, Xinxiang, People's Republic of China sug: subj: Stroke Survivors Education Survivors Education Patient Education Needs Assessment Hospital to Home Transition Human Adult Middle Age Male Female Funding Source Prospective Studies Qualitative Studies Exploratory Research Nonexperimental Studies Purposive Sample Semi-Structured Interview Caregivers Patient Discharge Thematic Analysis Coping Education Recovery Rehabilitation Education Patient Attitudes Support, Social Behavioral Changes Stroke Patients Psychosocial Factors Descriptive Statistics Data Analysis Software Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Introduction: Resourcefulness training (RT) supports stroke recovery by improving coping strategies and self‐management. Recognising the need for such training is crucial for providing targeted transitional care. We aimed to explore the evolving need for RT among young and middle‐aged stroke survivors during their transition from hospital to home. Methods: Using purposive sampling, we conducted two rounds of semi‐structured face‐to‐face interviews, supplemented by observational methods, involving 21 young and middle‐aged stroke survivors and 13 informal caregivers. Data were collected at two time points: 1–3 days before hospital discharge (T1) and 2 months after returning home (T2). Thematic analysis was conducted, and NVivo 12 was used to facilitate data coding and organisation. Results: Longitudinal qualitative analysis revealed two interconnected and fluid psychosocial stages in the transition from hospital to home: a vulnerable window immediately after discharge and an open period for rebuilding the rhythm of life. Each stage encompassed two major themes and four sub‐themes: (1) crisis awareness: limited coping capacity and concerns regarding stroke recovery; (2) low participation in rehabilitation training: limited initiative towards rehabilitation and insufficient awareness of available social resources; (3) repositioning needs: adjustment and reconstruction of self‐perception, along with a desire for self‐actualisation; and (4) desire for social support: assistance with behavioural change and the pursuit of community acceptance. Conclusion: These findings indicate that the need for RT for young and middle‐aged stroke survivors during the hospital‐to‐home transition evolves dynamically from personal to social resourcefulness. Enhancing disease awareness during hospitalisation, gradually integrating social support resources after discharge, and tailoring interventions according to age, sex and rehabilitation status may better meet the rehabilitation needs of this population as they transition to home care. Patient or Public Contribution: Patients and caregivers were actively involved in the feedback and early phases of data analysis. They verified the accuracy and relevance of the analysed themes. The medical staff provided respondent names and bed information that met the inclusion criteria. Their involvement contributed to ensuring the accuracy of data collection and enhancing the validity of the results. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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