Using blogs to explore the lived-experience of life after stroke: "A journey of discovery I never wanted to take"

J Adv Nurs. 2018 Mar;74(3):579-590. doi: 10.1111/jan.13457. Epub 2017 Oct 19.

Abstract

Aims: To explore the lived-experiences of stroke survivors as expressed in blogs and to discover the role the blogs play in the writers' lives.

Background: Stroke can be a devastating, life changing event. Previous qualitative studies tend to examine one aspect of life after stroke. As stroke often has multiple effects, it is necessary to look widely at its lived-experience. New resources which can enable researchers to explore the lived-experience of stroke are blogs.

Design: Phenomenological exploration using an interpretive thematic analysis.

Methods: The Internet was searched for stroke survivors' blogs (January-March 2016) using pre-set criteria, seeking blogs with entries over an extended time (>1 year). Suitable blogs were identified and codes of meaning were identified and developed into categories, subthemes and themes.

Findings: Eight blogs were identified for analysis. Of the 40 categories, eight subthemes were assimilated; internal dialogue, emotions, transition, stroke effects, health care, "in the world", relationships, rehabilitation. Two main themes were identified related to perspectives of lived-experience; Internal relationship with "self" and External relationship with "the world". Participants expressed loss and initially strove to regain their "old" lives, their focus being recovery and independence.

Conclusion: Stroke survivors must transition from their previous life to a new and initially unwelcome way of being. Rehabilitation should respect this process and support stroke survivors as they undertake this individual journey.

Keywords: blogs; life changing; nursing; patients; qualitative research; stroke; thematic analysis.

MeSH terms

  • Adaptation, Psychological
  • Adult
  • Aged
  • Blogging*
  • Female
  • Humans
  • Life Change Events*
  • Male
  • Middle Aged
  • Qualitative Research
  • Stroke / psychology*
  • Stroke Rehabilitation
  • Survivors