Article

PURPOSE: To identify the key factors that are necessary to account for in
planning and developing rehabilitation and community services for stroke based on
users' perspectives. METHOD:
A meta-synthesis of qualitative research comprising
three stages: (i) systematic searching and identification of relevant reports;
(ii) critical appraisal of selected reports; (iii) analysis and synthesis of
included reports. RESULTS:
A total of 138 reports were identified, 101 were
rejected after applying the inclusion criteria. Following critical appraisal, 18
papers were included. The main interconnecting themes relate to how the impact of
stroke is influenced by: (i) the person; (ii) close social relationships; (iii)
the social environment; (iv) interactions between all three. The
lines-of-argument synthesis relates to the social world a person inhabits and its
effect on how a person will perceive and deal with their stroke. Support will be
most effective when delivered in the context of this social world. CONCLUSION:
How stroke is perceived is highly dependent on a person's identity. Support can
be effective if delivered within the existing structures of a stroke survivor's unique social world.

Langue : ANGLAIS