Introduction
Self-management
is generally considered a dynamic and collaborative process by
individuals and caregivers to manage a chronic condition.
Self-management has recently emerged as a promising strategy for stroke
rehabilitation. This scoping review aims to examine and summarize
self-management strategies utilized by stroke survivors for stroke
rehabilitation.
Methods
PubMed,
Scopus, CINAHL (EBSCO), Embase, and ProQuest were searched for articles
published between January 2010 and December 2021. Studies were selected
if they were published in English in a peer-reviewed journal, utilized a
non-experimental research design, and focused on adult stroke
survivors. All relevant information from the included articles was
extracted in a systematic way using a pre-developed data extraction
form. Two authors performed data extraction and quality evaluation
independently. All issues were resolved through discussion among the
authors.
Results
We
narratively summarized the findings of 15 quantitative, qualitative,
and mixed-method studies, including a total of 1,494 stroke survivors.
The stroke survivors used a range of self-management strategies for
their stroke rehabilitation, including domains related to lifestyle,
social support, communication, knowledge and information, and
goal-setting. Gender, age, stroke-related disability, fatigue,
self-management education, social support, and communication with others
were found to be associated with self-management use in stroke
rehabilitation.
Conclusions
This
scoping review provides an important overview on stroke survivors’ use
of self-management strategies and their experience. Their use of
self-management strategies is complicated and multifaceted, comprising
several domains and involving a diverse range of approaches and personal
experiences. However, we identified several gaps in the literature and
more research is required.
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