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Interpretations of self-rated health in stroke survivors from a semi-rural community in South East Asia

Purpose: Stroke survivors report poorer self-rated health (SRH) compared to the general population but there is limited understanding on what contributes to SRH. This ethnographic study examined the individual and contextual factors that shape stroke survivors’ SRH in a rural middle income country s...

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Autores principales: Yap, Kwong Hsia, Warren, Narelle, Reidpath, Daniel D., Allotey, Pascale
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6534198/
https://www.ncbi.nlm.nih.gov/pubmed/31120385
http://dx.doi.org/10.1080/17482631.2019.1613875
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author Yap, Kwong Hsia
Warren, Narelle
Reidpath, Daniel D.
Allotey, Pascale
author_facet Yap, Kwong Hsia
Warren, Narelle
Reidpath, Daniel D.
Allotey, Pascale
author_sort Yap, Kwong Hsia
collection PubMed
description Purpose: Stroke survivors report poorer self-rated health (SRH) compared to the general population but there is limited understanding on what contributes to SRH. This ethnographic study examined the individual and contextual factors that shape stroke survivors’ SRH in a rural middle income country situated in South East Asia. Methods: Ethnographic methods which encompasses various data collection methods from different data sources were used in this study to describe the socio-cultural context of 16 stroke survivors living in a rural village. Within this context, the experiences of these participants were then interpreted in terms of what contributed to their perception of health and recovery, juxtaposed with objectively measure physical and cognitive states. Results: SRH reflected the post stroke adjustment of stroke survivors. Better SRH was influenced by good post-stroke adjustment that was achieved by a combination of physical functioning, cognitive functioning, emotional well-being and family support. Poorer SRH appear to reflect poor post-stroke adjustment regardless of the objective physical and cognitive states of the stroke survivors. It was also observed that cognitive deficits, though its presence was acknowledged by participants, were usually not taken into account when rating SRH. However, while physical functioning was perceived by participants to directly impact SRH, the presence of cognitive deficits (often in tandem with depressive symptoms) indirectly complicated the recovery of physical functions treasured by participants. Conclusion: Stroke survivors reporting poorer SRH warrant further attention and intervention from health practitioners supporting the longer-term needs of stroke survivors in similar settings.
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spelling pubmed-65341982019-06-04 Interpretations of self-rated health in stroke survivors from a semi-rural community in South East Asia Yap, Kwong Hsia Warren, Narelle Reidpath, Daniel D. Allotey, Pascale Int J Qual Stud Health Well-being Empirical Studies Purpose: Stroke survivors report poorer self-rated health (SRH) compared to the general population but there is limited understanding on what contributes to SRH. This ethnographic study examined the individual and contextual factors that shape stroke survivors’ SRH in a rural middle income country situated in South East Asia. Methods: Ethnographic methods which encompasses various data collection methods from different data sources were used in this study to describe the socio-cultural context of 16 stroke survivors living in a rural village. Within this context, the experiences of these participants were then interpreted in terms of what contributed to their perception of health and recovery, juxtaposed with objectively measure physical and cognitive states. Results: SRH reflected the post stroke adjustment of stroke survivors. Better SRH was influenced by good post-stroke adjustment that was achieved by a combination of physical functioning, cognitive functioning, emotional well-being and family support. Poorer SRH appear to reflect poor post-stroke adjustment regardless of the objective physical and cognitive states of the stroke survivors. It was also observed that cognitive deficits, though its presence was acknowledged by participants, were usually not taken into account when rating SRH. However, while physical functioning was perceived by participants to directly impact SRH, the presence of cognitive deficits (often in tandem with depressive symptoms) indirectly complicated the recovery of physical functions treasured by participants. Conclusion: Stroke survivors reporting poorer SRH warrant further attention and intervention from health practitioners supporting the longer-term needs of stroke survivors in similar settings. Taylor & Francis 2019-05-23 /pmc/articles/PMC6534198/ /pubmed/31120385 http://dx.doi.org/10.1080/17482631.2019.1613875 Text en © 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Empirical Studies
Yap, Kwong Hsia
Warren, Narelle
Reidpath, Daniel D.
Allotey, Pascale
Interpretations of self-rated health in stroke survivors from a semi-rural community in South East Asia
title Interpretations of self-rated health in stroke survivors from a semi-rural community in South East Asia
title_full Interpretations of self-rated health in stroke survivors from a semi-rural community in South East Asia
title_fullStr Interpretations of self-rated health in stroke survivors from a semi-rural community in South East Asia
title_full_unstemmed Interpretations of self-rated health in stroke survivors from a semi-rural community in South East Asia
title_short Interpretations of self-rated health in stroke survivors from a semi-rural community in South East Asia
title_sort interpretations of self-rated health in stroke survivors from a semi-rural community in south east asia
topic Empirical Studies
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6534198/
https://www.ncbi.nlm.nih.gov/pubmed/31120385
http://dx.doi.org/10.1080/17482631.2019.1613875
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