BACKGROUND: Limited evidence of young adult patient-reported outcomes and experiences after ischaemic stroke has been conducted. AIM: To investigate the meaning of the lived experiences of stroke patients in working age 12-24 months after their first IS. MATERIAL AND METHODS: The exploratory qualitative study used an interpretative phenomenological analysis (IPA) design. Nine ischaemic stroke patients (with age ranges from 41 to 50 years) took part in semi-structured qualitative interviews. RESULTS: Even with mild residual neurological deficit, IS negatively impacted the quality of life daily and social life. Six subthemes and three interconnected group experiential themes were generated: (i) From confusion to understanding (ii) Triggers for rebuilding; and (iii) Challenges and benefits. CONCLUSION: The study highlights the current gaps and limitations in supporting the needs of stroke patients in working age in long-term post-stroke care. The findings are crucial for healthcare professionals to develop improved age- and mild- impairment-appropriate strategies or tailor self-management interventions for stroke patients of working age.ClinicalTrials.gov: NCT04839887.

Department of Nursing Faculty of Health Sciences Palacký University Olomouc Olomouc Czech Republic

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Alaszewski, A., Alaszewski, H., & Risk, P. J. (2006). Uncertainty and life threatening trauma: Analysing stroke Survivor’s accounts of life after stroke. Forum, Qualitative Social Research / Forum, Qualitative Sozialforschung, 7(1), 1–12. 10.17169/fqs-7.1.53 DOI

Arntzen, C., Borg, T., & Hamran, T. (2015). Long-term recovery trajectory after stroke: An ongoing negotiation between body, participation and self. Disability and Rehabilitation, 37(18), 1626–1634. 10.3109/09638288.2014.972590 PubMed DOI

Béjot, Y., Delpont, B., & Giroud, M. (2016). Rising stroke incidence in young adults: More epidemiological evidence, more questions to Be answered. Journal of the American Heart Association, 5(5), e003661. 10.1161/JAHA.116.003661 PubMed DOI PMC

Benjamin, E. J., Blaha, M. J., Chiuve, S. E., Cushman, M., Das, S. R., Deo, R., de Ferranti, S. D., Floyd, J., Fornage, M., Gillespie, C., Isasi, C. R., Jiménez, M. C., Jordan, L. C., Judd, S. E., Lackland, D., Lichtman, J. H., Lisabeth, L., Liu, S. … Wong, S. S. (2017). Heart disease and stroke statistics—2017 update: A report from the American heart association. Circulation, 135(10), e146–e603. 10.1161/CIR.0000000000000485 PubMed DOI PMC

Boudokhane, S., Migaou, H., Kalai, A., Jellad, A., Borgi, O., Bouden, A., Sriha Belguith, A., & Ben Salah Frih, Z. (2021). Predictors of quality of life in stroke survivors: A 1-year follow-up study of a Tunisian sample. Journal of Stroke and Cerebrovascular Diseases: The Official Journal of National Stroke Association, 30(4), 105600. 10.1016/j.jstrokecerebrovasdis.2021.105600 PubMed DOI

Brouns, R., Valenzuela Espinoza, A., Goudman, L., Moens, M., & Verlooy, J. (2019). Interventions to promote work participation after ischaemic stroke: A systematic review. Clinical Neurology and Neurosurgery, 185, 105458. 10.1016/j.clineuro.2019.105458 PubMed DOI

Bury, M. (1982). Chronic illness as biographical disruption. Soc Health Illn, 4(2), 167–182. 10.1111/1467-9566.ep11339939 PubMed DOI

Daniel, K., Wolfe, C. D. A., Busch, M. A., & McKevitt, C. (2009). What are the social consequences of stroke for working-aged adults?. Stroke, 40(6). 10.1161/STROKEAHA.108.534487 PubMed DOI

Edwards, J. D., Kapoor, A., Linkewich, E., & Swartz, R. H. (2018). Return to work after young stroke. A Systematic Review international Journal of Stroke: Official Journal of the International Stroke Society, 13(3), 243–256. 10.1177/1747493017743059 PubMed DOI

Ford, A., Douglas, J., & O’Halloran, R. (2021). The experience of close personal relationships after stroke: Scoping review and thematic analysis of qualitative literature. Brain Impairment, 23(3), 1–31. 10.1017/BrImp.2021.12 DOI

Frostad Liaset, I., & Lorås, H. (2016). Perceived factors in return to work after acquired brain injury: A qualitative meta-synthesis. Scandinavian Journal of Occupational Therapy, 23(6), 446–457. 10.3109/11038128.2016.1152294 PubMed DOI

Guo, Y., Zhang, Z., Lin, B., Mei, Y., Liu, Q., Zhang, L., Wang, W., Li, Y., & Fu, Z. (2021). The unmet needs of community-dwelling stroke survivors: A systematic review of qualitative studies. International Journal of Environmental Research & Public Health, 18(4), 2140. 10.3390/ijerph18042140 PubMed DOI PMC

Gurková, E., Štureková, L., Šaňáková, Š., Bartoníčková, D., & Mandysová, P. (2023). Young adults’ experience of ischemic stroke - a qualitative research synthesis. Kontakt, 25(3), 225–234. 10.32725/kont.2023.029 DOI

Hanney, J. (2012). The experience of mild stroke among young adults and their spouses: An interpretative phenomenological analysis. National University of Ireland.

Harris, G. M., & Prvu Bettger, J. (2018). Parenting after stroke: A systematic review. Topics in Stroke Rehabilitation, 25(5), 384–392. 10.1080/10749357.2018.1452366 PubMed DOI

Holloway, A., Chandler, C., Aviles Reinso, L., Clarissa, C., Putri, A., Choi, H., Pan, J.-F., Mitra, U., Hewitt, J., Cluckie, G., Smart, A., Noble, H., Harris, R., Reid, J., & Kelly, D. M. (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. Journal of Advanced Nursing, 78(3), 869–882. 10.1111/jan.15076 PubMed DOI

Hutton, L., & Ownsworth, T. (2019). A qualitative investigation of sense of self and continuity in younger adults with stroke. Neuropsychological Rehabilitation, 29(2), 273–288. 10.1080/09602011.2017.1292922 PubMed DOI

Immenschuh, U. (2003). Being left alone - younger people who have suffered a stroke. PR-Internet Pflege, 6(7–8), 426–431.

Kessler, D., Dubouloz, C. J., Urbanowski, R., & Egan, M. (2009). Meaning perspective transformation following stroke: The process of change. Disability and Rehabilitation, 31(13), 1056–1065. 10.1080/09638280802509512 PubMed DOI

Kitzmuller, G., Haggstrom, T., & Asplund, K. (2013). Living an unfamiliar body: The significance of the long-term influence of bodily changes on the perception of self after stroke. Medicine, Health Care and Philosophy, 16(1), 19–29. 10.1007/s11019-012-9403-y PubMed DOI

Kuluski, K., Dow, C., Locock, L., Lyons, R. F., & Lasserson, D. (2014). Life interrupted and life regained? Coping with stroke at a young age. International Journal of Qualitative Studies on Health and Well-Being, 9(1), 22252. 10.3402/qhw.v9.22252 PubMed DOI PMC

La Torre, G., Lia, L., Francavilla, F., Chiappetta, M., & De Sio, S. (2022). Factors that facilitate and hinder the return to work after stroke: An overview of systematic reviews. La medicina del lavoro. La Medicina Del Lavoro, 113(3), e2022029. 10.23749/mdl.v113i3.13238 PubMed DOI PMC

Lawrence, M. (2010). Young adults’ experience of stroke: A qualitative review of the literature. British Journal of Nursing (Mark Allen Publishing), 19(4), 241–248. 10.12968/bjon.2010.19.4.46787 PubMed DOI

Lawrence, M., & Kinn, S. (2012, September). Defining and measuring patient-centred care: An example from a mixed-methods systematic review of the stroke literature. Health Expectations, 15(3), 295–326. 10.1111/j.1369-7625.2011.00683.x. Epub 2011 May 30. PMID: 21624025; PMCID: PMC5060626. PubMed DOI PMC

Leahy, D. M., Desmond, D., Coughlan, T., O’Neill, D., & Collins, D. R. (2016). Stroke in young women: An interpretative phenomenological analysis. Journal of Health Psychology, 21(5), 669–678. 10.1177/1359105314535125 PubMed DOI

Maaijwee, N. A., Rutten-Jacobs, L. C., Schaapsmeerders, P., van Dijk, E. J., & de Leeuw, F. E. (2014). Ischaemic stroke in young adults: Risk factors and long-term consequences. Nature Reviews Neurology, 10(6), 315–325. 10.1038/nrneurol.2014.72 PubMed DOI

McKevitt, C., Redfern, J., Mold, F., & Wolfe, C. (2004). Qualitative studies of stroke: A systematic review. Stroke, 35(6), 1499–1505. 10.1161/01.STR.0000127532.64840.36 PubMed DOI

Morris, R. (2011). The psychology of stroke in young adults: The roles of service provision and return to work. Stroke Research and Treatment, 2011, 1–10. 10.4061/2011/534812 PubMed DOI PMC

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. Journal of Patient Experience, 7(6), 1788–1796. 10.1177/2374373520967505 PubMed DOI PMC

Putaala, J. (2016). Ischemic stroke in the young: Current perspectives on incidence, risk factors, and cardiovascular prognosis. European Stroke Journal, 1(1), 28–40. 10.1177/2396987316629860 PubMed DOI PMC

Röding, J., Lindström, B., Malm, J., & Öhman, A. (2003). Frustrated and invisible–younger stroke patients’ experiences of the rehabilitation process. Disability and Rehabilitation, 25(15), 867–874. 10.1080/0963828031000122276 PubMed DOI

Salter, K., Hellings, C., Foley, N., & Teasell, R. (2008). The experience of living with stroke: A qualitative meta-synthesis. Journal of Rehabilitation Medicine, 40(8), 595–602. 10.2340/16501977-0238 PubMed DOI

Satink, T., Cup, E. H., Ilott, I., Prins, J., de Swart Bj, de Swart, B. J., & Nijhuis van der Sanden, M. W. (2013). Nijhuis-van der sanden MW (2013). Patients’ views on the impact of stroke on their roles and self: A thematic synthesis of qualitative studies. Archives of Physical Medicine & Rehabilitation, 94(6), 1171–1183. 10.1016/j.apmr.2013.01.011 PubMed DOI

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. Disability and Rehabilitation, 42(12), 1697–1704. 10.1080/09638288.2018.1534278 PubMed DOI

Smith, J. A. (2017). Interpretative phenomenological analysis: Getting at lived experience. The Journal of Positive Psychology, 12(3), 303–304. 10.1080/17439760.2016.1262622 DOI

Smith, J. A., Flowers, P., & Larkin, M. (2009). Interpretative phenomenological analysis: Theory, method and research. Sage Publications.

Smith, J. A., Flowers, P., & Larkin, M. (2021). Interpretative phenomenological analysis: Theory, method and research. Sage Publications.

Smith, J. A., & Nizza, I. E. (2022). Essentials of interpretative phenomenological analysis. American Psychological Association.

Synhaeve, N. E., Schaapsmeerders, P., Arntz, R. M., Maaijwee, N. A., Rutten-Jacobs, L. C., Schoonderwaldt, H. C., Dorresteijn, L. D., de Kort, P. L., van Dijk, E. J., Kessels, R. P., & de Leeuw, F. E. (2015). Cognitive performance and poor long-term functional outcome after young stroke. Neurology, 85(9), 776–782. 10.1212/WNL.0000000000001882 PubMed DOI

Tønseth, C. (2018). Anticipated and unanticipated transitions as triggers for adult Learning. Creat educ. Creative Education, 09(2), 165–181. 10.4236/ce.2018.92013 DOI

Wolfenden, B., & Grace, M. (2015). Vulnerability and post-stroke experiences of working-age survivors during recovery. SAGE Open, 5(4), 215824401561287. 10.1177/2158244015612877 DOI

World Health Organization . (2020, December). The top 10 causes of death. http://www.who.int/mediacentre/factsheets/fs310/en/#.WtYfmzIk_Jk

Yahya, T., Jilani, M. H., Khan, S. U., Mszar, R., Hassan, S. Z., Blaha, M. J., Blankstein, R., Virani, S. S., Johansen, M. C., Vahidy, F., Cainzos-Achirica, M., & Nasir, K. (2020). Stroke in young adults: Current trends, opportunities for prevention and pathways forward. Am J Prev Cardiol, 3, 100085. 10.1016/j.ajpc.2020.100085 PubMed DOI PMC

Yoon, S., Kim, H. Y., & Kim, S. R. (2021). A prediction model of health-related quality of life in young adult patients with stroke. Journal of Clinical Nursing, 30(13–14), 2023–2035. 10.1111/jocn.15755 PubMed DOI

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ClinicalTrials.gov
NCT04839887