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Life after stroke in Appalachia.

Laurie Theeke1, A Noelle Lucke-Wold1, Jennifer Mallow1

  • 1West Virginia University School of Nursing, Health Sciences South, PO Box 9620, Morgantown, WV 26506-9620, United States.

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Surviving stroke in Appalachia involves frustration with impairments and negative emotions. However, survivors find strength through support, longing for home, and embracing perseverance, acceptance, and retraining to move forward.

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Area of Science:

  • Neurology
  • Psychology
  • Sociology

Background:

  • Stroke is a significant health challenge, particularly in regions like Appalachia.
  • Understanding the lived experience of stroke survivors is crucial for targeted interventions.

Purpose of the Study:

  • To explore the meaning of surviving stroke for adults in Appalachia.
  • To identify key themes and challenges faced by this population.

Main Methods:

  • Qualitative phenomenological study.
  • Semi-structured interviews with 6 adult ischemic stroke survivors in Appalachia.
  • Thematic analysis of transcribed interviews, with findings verified by participants.

Main Results:

  • Five emergent themes: frustration with impairments, negative emotions (anger, depression), need for support, longing for home, and "stepping forward" (perseverance, acceptance, retraining).
  • Anger was linked to delayed recovery and emotional lability.
  • Home familiarity aided in regaining control; perseverance and retraining facilitated adaptation.

Conclusions:

  • Stroke recovery in Appalachia is a complex process influenced by physical, emotional, and social factors.
  • Accessible support and the concept of "home" are vital for survivors.
  • Perseverance, acceptance, and retraining are key to adapting and moving forward post-stroke.