ArticleBMC medical informatics and decision making2024
Experiences and needs of older patients with stroke in China involved in rehabilitation decision-making: a qualitative study.
Article in BMC medical informatics and decision making, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Factors influencing participation of patients who had a stroke in rehabilitation shared decision-making: a qualitative meta-synthesis.BMJ open · 2026Pooled it
- Rehabilitation needs of older adults with cognitive impairment following ischemic stroke: a qualitative study.Annals of medicine · 2026Article
- Article
- Associations Among Health Literacy, Decision Self-Efficacy, and Decisional Conflict in Stroke Survivor-Caregiver Dyads.The journal of nursing research : JNR · 2026Article
- Preferences for advance care planning services among patients with recurrent stroke: a discrete choice experiment.BMC health services research · 2026Article
- Facilitators and barriers of life-space mobility in older adults with ischemic stroke: a descriptive qualitative study based on the COM-B.Frontiers in public health · 2026Article
- Exploring barriers and facilitators to shared decision-making for older adults in East Asian health systems: a scoping review.Innovation in aging · 2026Review
- [Trajectory planning and tracking control for upper limb traction rehabilitation training].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2025Article
- Mediation Role of Behavioral Decision-Making Between Self-Efficacy and Self-Management Among Elderly Stroke Survivors in China: Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2025Article
- Decision experiences in joint replacement surgery for patients with haemophilic arthritis: A qualitative study.BMC medical informatics and decision making · 2025Article
- Psychological outcomes and health-related quality of life changes in Chinese patients with moyamoya disease after revascularization.Frontiers in surgery · 2025Article
- Assessment of the content and quality of palliative care videos on Chinese social media: A cross-sectional analysis.Digital healthArticle
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundShared decision-making is recommended for stroke rehabilitation. However, the complexity of the rehabilitation modalities exposes patients to decision-making conflicts, exacerbates their disabilities, and diminishes their quality of life. This study aimed to explore the experiences and needs of older patients with stroke in China during rehabilitation decision-making, providing a reference for developing decision-support strategies.
methodsA qualitative phenomenological design was used to explore the experiences and needs of older patients with stroke in China. Purposive sampling was used to recruit 31 older Chinese patients with stroke. The participants participated in face-to-face, semi-structured, and in-depth interviews. Data were analyzed using inductive thematic analysis.
resultsThe key themes identified include (1) mixed feelings in shared decision-making, (2) multiple barriers hinder the possibility of participating in shared decision-making, (3) Delegating rehabilitation decisions to surrogates, (4) gaps between reality and expectation, and (5) decision fatigue from lack of continuity in the rehabilitation health care system.
conclusionsOlder patients with stroke in China have complex rehabilitation decision-making experiences and needs and face multiple obstacles when participating in shared decision-making. They lack an effective shared decision-making support system to assist them. Providing patients with comprehensive support (such as emotional and informational), strengthening the construction of a continuous rehabilitation system, alleviating economic pressure, and promoting patient participation in rehabilitation decision-making are necessary.
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