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Subjective experiences of transient ischaemic attack : a repertory grid approach

SPURGEON L; JAMES G; SACKLEY C
DISABIL REHABIL , 2013, vol. 35, n° 26, p. 2205-2212
Doc n°: 167480
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.3109/09638288.2013.774062
Descripteurs : AF21 - ACCIDENTS VASCULAIRES CEREBRAUX

Research on the psychosocial reactions to stroke has been used to inform
rehabilitation programmes. Yet much less research has been conducted into
experiences of, and reactions to, transient ischaemic attack (TIA), despite its
link with secondary stroke. This study aimed to investigate the subjective
psychological experiences of TIA. METHOD: Repertory grid technique was used
because of its capacity to make individual implicit experiences explicit. Using
the standard repertory grid protocol, 12 post-TIA patients were asked to consider
how five everyday activities had been affected by TIA. Each participant generated
six constructs or personal perspectives, which were analysed using proprietary
(RepGrid IV) software. RESULTS: Despite the individualised nature of the
responses, six themes emerged from the constructs. These included deep-seated
anxiety about future uncertainties/disruption to normality, loss of confidence,
frustration, TIA as a wake-up call, a sense of loss and sadness, and
embarrassment. IMPLICATIONS FOR REHABILITATION: Research has shown that the
patient's subjective experience and perspective are important to the
rehabilitation process post-stroke. Relatively little research has been conducted
into the subjective experiences of TIA patients. This study has revealed a range
of subjective reactions to TIA, which could be used to inform individualised
post-TIA management, adaptation and rehabilitation.

Langue : ANGLAIS

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