How is self-management perceived by community living people after a stroke? A focus group study.
Conclusion: Self-management post-stroke is complex. Stroke self-management programmes may be optimised when integrating role and emotional management in addition to medical management. Although readiness to self-manage differs among individuals, support should start as soon as possible and continue post-discharge in people's personal environments. Self-management programmes should not only focus on self-management of stroke survivors but also on co-management with relatives. Implications for Rehabilitation This study suggests that health care professionals should pay attention to the way patients understand the word and concept of self-management, and need to stress that self-management is not "do-it-yourself", but is about managing life and health in collaboration with relatives and professionals. Self-management programmes become more meaningful for patients if valued activities and roles are the points of departure of the assessment, goal-setting and coaching throughout the process post-stroke. Stroke self-management programmes should be delivered in people's own environments.
PMID: 24828313 [PubMed - as supplied by publisher]
Source: Disability and Rehabilitation - Category: Rehabilitation Authors: Satink T, Cup EH, de Swart BJ, Nijhuis-van der Sanden MW Tags: Disabil Rehabil Source Type: research
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