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How is the environment integrated into post-stroke rehabilitation? A qualitative study among community-dwelling persons with stroke who receive home rehabilitation in Sweden
Health and Social Care in the Community ( IF 2.395 ) Pub Date : 2021-09-20 , DOI: 10.1111/hsc.13572
Maya Kylén 1, 2 , Charlotte Ytterberg 3, 4 , Lena von Koch 3, 4 , Marie Elf 1
Affiliation  

Studies have shown a need to consider environmental factors to best support the rehabilitation and recovery process after a stroke. In addition, despite intentions to increase individuals’ participation in care and rehabilitation, patients and family members report weak participation. The aim of this study was to explore how the environment was integrated into rehabilitation at home from the perspective of patients after a stroke. We conducted as a qualitative study with 17 patients rehabilitated at home. Data on the participants’ experiences of the rehabilitation process and their perceptions of how the environment was considered in the process were collected via interviews and analysed using qualitative content analysis. The main category that was constructed from the data was “Partial integration of person- environment dynamics in the rehabilitation”, which was informed by three subcategories: (a) I recover in my home: Challenges and opportunities in the environment, (b) Following a generic approach to therapy: Limited integration of the environment, and (c) Informed more than involved. Our study showed that the environment was integrated in a limited manner. The participants were more informed about than involved in their planning of the rehabilitation. The results are important for informing the ongoing development of rehabilitation at home and person-centred care strategies.

中文翻译:

环境如何融入中风后康复?在瑞典接受家庭康复的社区卒中患者的定性研究

研究表明需要考虑环境因素以最好地支持中风后的康复和恢复过程。此外,尽管有意增加个人对护理和康复的参与,但患者和家庭成员的参与度仍然很低。本研究的目的是从中风后患者的角度探讨如何将环境融入家庭康复中。我们对 17 名在家康复的患者进行了定性研究。通过访谈收集参与者在康复过程中的经验以及他们对在过程中如何考虑环境的看法的数据,并使用定性内容分析进行分析。根据数据构建的主要类别是“在康复过程中部分整合个人环境动态”,由三个子类别组成:(a)我在家中康复:环境中的挑战和机遇,(b)以下一种通用的治疗方法:环境的有限整合,以及 (c) 知情多于参与。我们的研究表明,环境以有限的方式整合。参与者对康复计划的了解多于参与计划。这些结果对于告知正在进行的家庭康复和以人为本的护理策略的发展非常重要。环境整合有限,以及 (c) 知情多于参与。我们的研究表明,环境以有限的方式整合。参与者对康复计划的了解多于参与计划。这些结果对于告知正在进行的家庭康复和以人为本的护理策略的发展非常重要。环境整合有限,以及 (c) 知情多于参与。我们的研究表明,环境以有限的方式整合。参与者对康复计划的了解多于参与计划。这些结果对于告知正在进行的家庭康复和以人为本的护理策略的发展非常重要。
更新日期:2021-09-20
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