Uncertainties in Occupational Participation Among Acute Stroke Survivors: A Qualitative Descriptive Study

Area of Science:

• Neuroscience
• Occupational Therapy
• Rehabilitation Medicine

Background:

• Stroke significantly impacts individuals' ability to participate in daily activities and roles.
• Diminished occupational participation is a critical issue affecting stroke survivors' quality of life from the acute phase.

Purpose of the Study:

• To explore the lived experiences of diminished occupational participation among individuals in the acute phase after stroke.
• To identify key themes influencing occupational engagement post-stroke.

Main Methods:

• Qualitative thematic analysis of interviews with 12 acute stroke survivors within three weeks of stroke onset.
• Exploration of participants' subjective experiences and challenges related to occupational participation.

Main Results:

• Four major themes emerged: uncertainty regarding physical recovery, resistance to role loss, disconnection from daily life, and awareness of social support.
• Survivors grapple with the unpredictability of recovery and a sense of lost identity and daily routines.

Conclusions:

• Rehabilitation requires an occupational perspective from the acute phase, addressing more than just physical recovery.
• Prioritizing meaningful occupational engagement, identity reconstruction, and daily life continuity is crucial for client-centered care.
• Monitoring emotional fluctuations and leveraging social support are key strategies for acute stroke rehabilitation.