Factors Affecting the Ability of the Stroke Survivor to Drive Their Own Recovery outside of Therapy during Inpatient Stroke Rehabilitation.
Factors Affecting the Ability of the Stroke Survivor to Drive Their Own Recovery outside of Therapy during Inpatient Stroke Rehabilitation.
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DOI：
10.1155/2014/626538
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发表时间：
2014
影响因子：
1.5
通讯作者：
Hayward KS
中科院分区：
文献类型：
--
作者：
Eng XW;Brauer SG;Kuys SS;Lord M;Hayward KS
瞄准探讨影响脑卒中幸存者在住院康复期间在治疗外自行恢复能力的因素。法与卒中幸存者（n = 7）及其主要照顾者（n = 6）进行一对一的深入访谈，沿着两个焦点小组与临床工作人员（n = 20）。按组对数据进行专题分析。结果中风幸存者认为“处理损失”，同时“建立动机和希望”的恢复影响他们的能力，以推动自己的康复以外的治疗。此外，他们报告说，在治疗之外“缺乏机会”，随后的时间被描述为“死亡和浪费”。主要照顾者认为中风幸存者感到“失控......在每个人的怜悯下”，并且缺乏治疗之外的“做什么和为什么”的知识。临床工作人员认为，中风幸存者推动自己康复的能力受到缺乏“另一个地方去”和“被动康复文化和环境”的限制。讨论为了使中风幸存者能够在治疗之外推动自己的康复，需要增加实践机会并促进积极参与。建议的策略包括建立中风幸存者的动机和知识，创造一个丰富的环境，并制定日常生活，以提供治疗时间以外的结构。
Aim. To explore factors affecting the ability of the stroke survivor to drive their own recovery outside of therapy during inpatient rehabilitation. Method. One-on-one, in-depth interviews with stroke survivors (n = 7) and their main carer (n = 6), along with two focus groups with clinical staff (n = 20). Data was thematically analysed according to group. Results. Stroke survivors perceived “dealing with loss,” whilst concurrently “building motivation and hope” for recovery affected their ability to drive their own recovery outside of therapy. In addition, they reported a “lack of opportunities” outside of therapy, with subsequent time described as “dead and wasted.” Main carers perceived stroke survivors felt “out of control … at everyone's mercy” and lacked knowledge of “what to do and why” outside of therapy. Clinical staff perceived the stroke survivor's ability to drive their own recovery was limited by the lack of “another place to go” and the “passive rehab culture and environment.” Discussion. To enable the stroke survivor to drive their own recovery outside of therapy, there is a need to increase opportunities for practice and promote active engagement. Suggested strategies include building the stroke survivor's motivation and knowledge, creating an enriched environment, and developing daily routines to provide structure outside of therapy time.