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Identity rupture and reconstruction in post-stroke PTSD: a patient journey map
Xiaotong Yu1,2, Li Liu1, Hongyang Wu2
1Medical Insurance Department, Binzhou Medical University Hospital, Binzhou, China.
Frontiers in Psychiatry
|June 22, 2026
Summary
This study maps the psychological rehabilitation journey for post-stroke Post-Traumatic Stress Disorder (PTSD) patients. Findings inform tailored nursing interventions for identity reconstruction and life stabilization.
Area of Science:
- Psychology
- Neurology
- Nursing
Background:
- Stroke survivors may develop Post-Traumatic Stress Disorder (PTSD).
- Understanding the psychological rehabilitation needs of these patients is crucial.
- A patient-family-nurse perspective is vital for comprehensive care.
Purpose of the Study:
- To identify core psychological rehabilitation needs in post-stroke PTSD patients.
- To develop a patient-family-nurse triad-verified journey map.
- To inform precise nursing intervention strategies for improved outcomes.
Main Methods:
- Descriptive qualitative research.
- Semi-structured interviews with 19 post-stroke PTSD patients, caregivers, and healthcare professionals.
- Content analysis and triangulation verification to construct a journey map.
Main Results:
- A 24-sub-theme journey map was developed, detailing tasks, emotions, and pain points.
- The map covers four phases: traumatic impact, support imbalance, resilience activation, and life stabilization.
- Identified specific needs for identity reconstruction and life stabilization.
Conclusions:
- The triad-verified journey map visually represents the identity reconstruction process in post-stroke PTSD.
- Provides a practical framework for developing phased, person-centered nursing interventions.
- Highlights the importance of integrated support for psychological rehabilitation.
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