Upper limb recovery after stroke: The stroke survivors' perspective
Upper limb recovery after stroke: The stroke survivors' perspective
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DOI：
10.1080/09638280500075717
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发表时间：
2005-01-01
影响因子：
2.2
通讯作者：
Brauer, SG
中科院分区：
文献类型：
--
作者：
Barker, RN;Brauer, SG
目的.本研究调查中风幸存者对中风后上肢康复的看法。目的是确定除医学诊断和合并症以外的有助于康复的因素。目的是探讨中风幸存者如何定义恢复，确定他们认为影响恢复的因素，并确定用于最大限度地恢复上肢的策略。一项定性研究，包括三个焦点小组和两个深入的访谈进行了中风幸存者（n = 19）和配偶（n = 9）在大都市，地区和农村昆士兰州，澳大利亚。数据进行了分析，使用扎根理论的原则。中风幸存者通过“保持大门敞开”来最大限度地恢复上肢，这是一个在适应中风生活中继续希望和努力改善的过程。他们通过“坚持下去”、“依靠他人的支持”、“坚持下去并坚持锻炼”以及“找出如何继续前进”来实现这一目标。这项研究提供了宝贵的洞察力，中风后上肢恢复的个人经验。它强调需要制定培训策略，以满足中风幸存者的需求和愿望，并对恢复没有时间限制。它加强了中风支持团体的好处，并倡导将其纳入中风康复服务。这些发现可用于指导中风幸存者为中心的上肢训练计划的发展和评估。
Purpose. This study investigated stroke survivors' perspective of upper limb recovery after stroke. The aim was to determine factors other than medical diagnosis and co-morbidities that contribute to recovery. The objectives were to explore how stroke survivors define recovery, identify factors they believe influence recovery and determine strategies used to maximize upper limb recovery.Method. A qualitative study consisting of three focus groups and two in-depth interviews was conducted with stroke survivors (n = 19) and spouses ( n = 9) in metropolitan, regional and rural Queensland, Australia. Data were analysed using principles of grounded theory.Results. Stroke survivors maximize upper limb recovery by 'keeping the door open' a process of continuing to hope for and work towards improvement amidst adjusting to life with stroke. They achieve this by 'hanging in there', 'drawing on support from others', 'getting going and keeping going with exercise', and 'finding out how to keep moving ahead'.Conclusions. This study provides valuable insight into the personal experience of upper limb recovery after stroke. It highlights the need to develop training strategies that match the needs and aspirations of stroke survivors and that place no time limits on recovery. It reinforces the benefits of stroke support groups and advocates their incorporation into stroke recovery services. These findings can be used to guide both the development and evaluation of stroke survivor centred upper limb training programmes.