BACKGROUND Transient ischaemic attack (TIA) and minor stroke are often considered transient events; however, many patients experience residual problems and reduced quality of life. Current follow-up healthcare focuses on stroke prevention and care for other long-term problems is not routinely provided. We aimed to explore patient and healthcare provider (HCP) experiences of residual problems post-TIA/minor stroke, the impact of TIA/minor stroke on patients' lives, and current follow-up care and sources of support. METHODS This qualitative study recruited participants from three TIA clinics, seven general practices and one community care trust in the West Midlands, England. Semi-structured interviews were conducted with 12 TIA/minor stroke patients and 24 HCPs from primary, secondary and community care. Data was analysed using framework analysis. RESULTS A diverse range of residual problems were reported post-TIA/minor stroke, including psychological, cognitive and physical impairments. Consultants and general practitioners generally lacked awareness of these long-term problems; however, there was better recognition among nurses and allied HCPs. Residual problems significantly affected patients' lives, including return to work, social activities, and relationships with family and friends. Follow-up care was variable and medically focused. While HCPs prioritised medical investigations and stroke prevention medication, patients emphasised the importance of understanding their diagnosis, individualised support regarding stroke risk, and addressing residual problems. CONCLUSION HCPs could better communicate information about TIA/minor stroke diagnosis and secondary stroke prevention using lay language, and improve their identification of and response to important residual impairments affecting patients.

中文翻译：

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TIA和轻度卒中：对长期影响和后续护理经验的定性研究。

背景技术短暂性脑缺血发作（TIA）和轻度中风通常被认为是暂时性事件。但是，许多患者仍然存在残留问题并降低了生活质量。当前的后续医疗保健侧重于中风的预防，而其他长期问题的常规护理则没有常规提供。我们旨在探讨患者和医疗服务提供者（HCP）在TIA /小卒中后残留问题，TIA /小卒中对患者生活的影响以及当前的后续护理和支持来源方面的经验。方法这项定性研究从英格兰西米德兰兹郡的3个TIA诊所，7个一般做法和1个社区护理信托基金中招募了参与者。对12名TIA /中风患者和来自初级，二级和社区护理的24位HCP进行了半结构式访谈。使用框架分析对数据进行分析。结果据报道，TIA /轻度卒中后存在各种残留问题，包括心理，认知和身体障碍。顾问和全科医生普遍缺乏对这些长期问题的认识；但是，在护士和相关的HCP中获得了更好的认可。残留问题极大地影响了患者的生活，包括重返工作，社交活动以及与家人和朋友的关系。后续护理是多变的并且以医学为重点。在HCP优先考虑医学检查和中风预防药物的同时，患者强调了了解其诊断，关于中风风险的个性化支持以及解决残留问题的重要性。