Factors affecting quality of life for people who have experienced a stroke

Background Quality of life (QoL) after stroke has primarily been the focus of quantitative research; however, the validity and adequacy of QoL measures have been questioned and qualitative research approaches have been advocated. Aim This review aims to gain a subjective understanding of the construct of QoL from the perspectives of people who have experienced a stroke. Method We conducted a metasynthesis, based on primary qualitative research of differing methodologies. Thematic analysis was used to synthesize the findings of the eight studies reviewed. Findings Nine themes, each representing factors affecting QoL after stroke, were identified: physical and cognitive changes; communication; sense of self and identity; activities and participation; dependency and support in relationships; uncertainty and level of control; adaptation and attitude; the personal and social interpretation; new values and perspectives. Conclusion The impact of stroke on QoL is largely determined by how the stroke influences so...