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Living with the aftermaths of a stroke in the era of the COVID-19 pandemic; the significance of home and close surroundings

Kylén, Maya LU orcid ; von Koch, Lena ; Wottrich, Annica Wohlin and Elf, Marie (2022) In Health and Place 76.
Abstract

Stay-at-home recommendations to reduce the spread of the COVID-19 virus have had a major impact on people's everyday lives. However, while the evidence indicates that such recommendations have caused distress, anxiety, and fear among the public, little is known about how persons living with complex health conditions, e.g., disability after stroke, have experienced and handled the situation. We interviewed fourteen participants (7 women, 7 men) aged 61–91 years living in ordinary housing during summer 2020 to explore how people who recovered after a stroke experienced their everyday lives in their homes and close surroundings during the COVID-19 pandemic recommendations. Three intertwined themes were constructed from the narrative data... (More)

Stay-at-home recommendations to reduce the spread of the COVID-19 virus have had a major impact on people's everyday lives. However, while the evidence indicates that such recommendations have caused distress, anxiety, and fear among the public, little is known about how persons living with complex health conditions, e.g., disability after stroke, have experienced and handled the situation. We interviewed fourteen participants (7 women, 7 men) aged 61–91 years living in ordinary housing during summer 2020 to explore how people who recovered after a stroke experienced their everyday lives in their homes and close surroundings during the COVID-19 pandemic recommendations. Three intertwined themes were constructed from the narrative data and the iterative thematic analysis: (1) Places within and out of reach, (2) Upholding activities–strategies and structures, and (3) Adapting to new circumstances. The findings suggest that places within reach were important to maintain activities and provide structure in daily life. The participants seemed to make use of their previous experiences of adjusting to new circumstances after stroke when adapting to living under the stay-at-home recommendations. In addition, feeling that they now shared the restrictions with all other people in society seemed to ease their situations. Access to nature and spaces in the close surroundings was essential for staying socially connected and receiving support in daily life. The significance of the home and the neighbourhood for health experiences among people who recently have had a stroke should inform rehabilitation interventions both during and after pandemics and environmental planning.

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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Coronavirus, Environment, Pandemic, Place, Rehabilitation, Risk group
in
Health and Place
volume
76
article number
102852
publisher
Elsevier
external identifiers
  • pmid:35803042
  • scopus:85133459819
ISSN
1353-8292
DOI
10.1016/j.healthplace.2022.102852
language
English
LU publication?
yes
additional info
Funding Information: This work was supported by FORMAS [grant numbers 2017-00341 and 2020-02386 ]. Publisher Copyright: © 2022 The Authors
id
efad387f-f35f-4a85-9b72-90792342640f
date added to LUP
2022-07-14 09:58:14
date last changed
2024-04-18 08:54:25
@article{efad387f-f35f-4a85-9b72-90792342640f,
  abstract     = {{<p>Stay-at-home recommendations to reduce the spread of the COVID-19 virus have had a major impact on people's everyday lives. However, while the evidence indicates that such recommendations have caused distress, anxiety, and fear among the public, little is known about how persons living with complex health conditions, e.g., disability after stroke, have experienced and handled the situation. We interviewed fourteen participants (7 women, 7 men) aged 61–91 years living in ordinary housing during summer 2020 to explore how people who recovered after a stroke experienced their everyday lives in their homes and close surroundings during the COVID-19 pandemic recommendations. Three intertwined themes were constructed from the narrative data and the iterative thematic analysis: (1) Places within and out of reach, (2) Upholding activities–strategies and structures, and (3) Adapting to new circumstances. The findings suggest that places within reach were important to maintain activities and provide structure in daily life. The participants seemed to make use of their previous experiences of adjusting to new circumstances after stroke when adapting to living under the stay-at-home recommendations. In addition, feeling that they now shared the restrictions with all other people in society seemed to ease their situations. Access to nature and spaces in the close surroundings was essential for staying socially connected and receiving support in daily life. The significance of the home and the neighbourhood for health experiences among people who recently have had a stroke should inform rehabilitation interventions both during and after pandemics and environmental planning.</p>}},
  author       = {{Kylén, Maya and von Koch, Lena and Wottrich, Annica Wohlin and Elf, Marie}},
  issn         = {{1353-8292}},
  keywords     = {{Coronavirus; Environment; Pandemic; Place; Rehabilitation; Risk group}},
  language     = {{eng}},
  publisher    = {{Elsevier}},
  series       = {{Health and Place}},
  title        = {{Living with the aftermaths of a stroke in the era of the COVID-19 pandemic; the significance of home and close surroundings}},
  url          = {{http://dx.doi.org/10.1016/j.healthplace.2022.102852}},
  doi          = {{10.1016/j.healthplace.2022.102852}},
  volume       = {{76}},
  year         = {{2022}},
}