Original Articles

Social needs and resilience of post-stroke patients: an exploratory case study

Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Received: 9 November 2024
Accepted: 6 June 2025
Published: 15 July 2025
329
Views
167
Downloads
5
HTML

Authors

Stroke recovery is a long-term process where resilience proves to be a very important factor in the stroke recovery process. This study aimed to investigate the existence of social needs in undergoing resilience in post-stroke patients, which can be used as basic data for designing intervention strategies to increase the resilience of post-stroke patients. This research was an applied qualitative study with an exploratory case studies type of research. Participants were selected using the purposive sampling method. Semi-structured in-depth interviews and field notes during the interview process were conducted with 9 informants. The data analysis used in this research was thematic analysis. There were three themes found in this research, including the need for a support system, the need for assistance in accessing health facilities, and the need for information on the whereabouts and assistance of social worker. The improvement of post-stroke patients’ resilience cannot be separated from meeting the patient’s social needs from family, peers, and the surrounding community, including social workers. Collaboration between various parties including the local community needs to be carried out as an effort to improve poststroke patients’ resilience.

Downloads

Download data is not yet available.
1. Feigin VL, Owolabi MO, Feigin VL, et al. Pragmatic solutions to reduce the global burden of stroke: a World Stroke Organization–Lancet Neurology Commission. Lancet Neurol 2023;22:1160–206.
2. Lee HJ, Lim YC, Lee YS, et al. Analysis of medical service utilization for post-stroke sequelae in Korea between 2016 and 2018: a cross-sectional study. Sci Rep 2022;12:1–13.
3. Li QX, Zhao XJ, Wang Y, et al. Value of the Barthel scale in prognostic prediction for patients with cerebral infarction. BMC Cardiovasc Disord 2020;20:1–5.
4. Bright FAS, Ibell-Roberts C, Wilson BJ. Psychosocial well-being after stroke in Aotearoa New Zealand: a qualitative metasynthesis. Disabil Rehabil 2024;46:2000–13.
5. Guo J, Wang J, Sun W, Liu X. The advances of post-stroke depression: 2021 update. J Neurol 2022;269:1236–49.
6. Knapp P, Dunn-Roberts A, Sahib N, et al. Frequency of anxiety after stroke: an updated systematic review and meta-analysis of observational studies. Int J Stroke 2020;15:244–55.
7. Elayoubi J, Haley WE, Nelson ME, Hueluer G. How social connection and engagement relate to functional limitations and depressive symptoms outcomes after stroke. Stroke 2023;54:1830–8.
8. Han ZT, Zhang HM, Wang YM, et al. Uncertainty in illness and coping styles: moderating and mediating effects of resilience in stroke patients. World J Clin Cases 2021;9:8999–10.
9. Chen CP, Tung HH. Resilience and daily activity among patients after stroke. Aging Med Healthcare 2021;12:152–8.
10. Heltty H, Zahalim Z. Resilience after stroke and its correlation with functional independence. J Ners 2023;18:57–3.
11. Kim EY, Chang SO. Exploring nurse perceptions and experiences of resilience: a meta-synthesis study. BMC Nurs 2022;21.
12. Heltty H. Patient, family, and peer engagement in nursing care as an effort to improve the functional independence of post-stroke urinary incontinence patients: a cross-sectional study. Cureus 2022;14:6–12.
13. Southwick SM, Bonanno GA, Masten AS, et al. Resilience definitions, theory, and challenges: interdisciplinary perspectives. Eur J Psychotraumatol 2014;5.
14. Zimmerman MA. Resiliency theory. Heal Educ Behav 2013;40:381–3.
15. Heltty H, Sitorus R, Nusdwinuringtyas N, Martha E. Effect of self-regulation and social support intervention on the life quality in patients with post-stroke urinary incontinence. Korean J Adult Nurs 2021;33:399–5.
16. Steverink N, Lindenberg S, Spiegel T, Nieboer AP. The associations of different social needs with psychological strengths and subjective well-being: an empirical investigation based on social production function theory. J Happiness Stud 2020;21:799–24.
17. Howell CR, Harada CN, Fontaine KR, et al. Perspective: Acknowledging a hierarchy of social needs in diabetes clinical care and prevention. Diabetes, Metab Syndr Obes 2023;16:161–6.
18. Kreuter MW, Thompson T, McQueen A, Garg R. Addressing social needs in health care settings: evidence, challenges, and opportunities for public health. Annu Rev Public Health 2020;42:329–44.
19. Moisoglou I, Katsiroumpa A, Kolisiati A, et al. Resilience and social support improve mental health and quality of life in patients with post-COVID-19 syndrome. Eur J Investig Heal Psychol Educ 2024;14:230–42.
20. Musich S, Wang SS, Schaeffer JA, et al. The association of increasing resilience with positive health outcomes among older adults. Geriatr Nurs (Minneap) 2022;44:97–104.
21. Norvang OP, Dahl AE, Thingstad P, Askim T. Resilience and its association with activities of daily living 3 months after stroke. Front Neurol 2022;13:1–8.
22. Ahmed SK. The pillars of trustworthiness in qualitative research. J Med Surgery, Public Heal 2024;2:100051.
23. Chohan SA, Venkatesh PK, How CH. Long-term complications of stroke and secondary prevention: an overview for primary care physicians. Singapore Med J 2019;60:616–20.
24. Hou L, Li M, Wang J, et al. Association between physical exercise and stroke recurrence among first-ever ischemic stroke survivors. Sci Rep 2021;11:13372.
25. Sun B, Wang N, Li K, et al. The mediating effects of hope on the relationships of social support and self-esteem with psychological resilience in patients with stroke. BMC Psychiatry 2024;24:340.
26. Wang Y, Li G, Ding S, et al. Correlation between resilience and social support in elderly ischemic stroke patients. World Neurosurg 2024;184:e518–23.
27. Bindawas SM, Vennu VS. Stroke rehabilitation: a call to action in Saudi Arabia. Neurosciences 2016;21:297–05.
28. Hartford W, Lear S, Nimmon L. Stroke survivors’ experiences of team support along their recovery continuum. BMC Health Serv Res 2019;19:1–12.
29. Guo Y, Zhang Z, Lin B, et al. The unmet needs of community-dwelling stroke survivors: a systematic review of qualitative studies. Int J Environ Res Public Health 2021;18:214

How to Cite



Social needs and resilience of post-stroke patients: an exploratory case study. (2025). Healthcare in Low-Resource Settings, 13(3). https://doi.org/10.4081/hls.2025.13363