ABSTRACT

Understanding stroke survivor responses to attainable and unattainable goals is important so that rehabilitation staff can optimally support ongoing recovery and adaption. In this qualitative study, we aimed to investigate (i) stroke survivor's experiences of goal attainment, adjustment and disengagement in the first year after stroke and (ii) whether the Goal setting and Action Planning (G-AP) framework supported different pathways to goal attainment. In-depth interviews were conducted with eighteen stroke survivors’ to explore their experiences and views. Interview data were transcribed verbatim and analysed using a Framework approach to examine themes within and between participants. Stroke survivors reported that attaining personal goals enabled them to resume important activities, reclaim a sense of self and enhance emotional wellbeing. Experiences of goal-related setbacks and failure facilitated understanding and acceptance of limitations and informed adjustment of, or disengagement from, unattainable goals. Use of the G-AP framework supported stroke survivors to (i) identify personal goals, (ii) initiate and sustain goal pursuit, (iii) gauge progress and (iv) make informed decisions about continued goal pursuit, adjustment or disengagement. Stroke survivor recovery involves attainment of original and adjusted or alternative goals. The G-AP framework can support these different pathways to goal attainment.

摘要

了解卒中幸存者对可达到和不可实现目标的反应非常重要，这样康复人员才能最佳地支持正在进行的康复和适应。在这项定性研究中，我们旨在调查（i）中风后第一年中风幸存者实现目标，调整和脱离目标的经历，以及（ii）目标设定和行动计划（G-AP）框架是否支持实现目标的不同途径素养。对18名卒中幸存者进行了深入访谈，以探讨他们的经验和看法。采访数据被逐字记录并使用框架方法进行分析，以检查参与者内部和参与者之间的主题。中风幸存者报告说，达到个人目标可以使他们恢复重要的活动，恢复自我意识并增强情绪健康。与目标相关的挫折和失败的经验有助于理解和接受局限性，并明智地调整或脱离无法实现的目标。使用G-AP框架支持的卒中幸存者（i）识别个人目标，（ii）发起并维持目标追求，（iii）评估进度，（iv）对继续追求目标，调整或脱离接触做出明智的决定。脑卒中幸存者的康复涉及达到原始目标，调整后目标或替代目标。G-AP框架可以支持实现目标的这些不同途径。（ii）发起和维持目标追求，（iii）评估进度，（iv）就继续追求，调整或脱离接触做出明智的决定。脑卒中幸存者的康复涉及达到原始目标，调整后目标或替代目标。G-AP框架可以支持实现目标的这些不同途径。（ii）发起和维持目标追求，（iii）评估进度，（iv）就继续追求，调整或脱离接触做出明智的决定。脑卒中幸存者的康复涉及达到原始目标，调整后目标或替代目标。G-AP框架可以支持实现目标的这些不同途径。