1. Factors influencing post-stroke rehabilitation participation after discharge from hospital.
- Author
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Wei Koh, Barr, Christopher, and George, Stacey
- Subjects
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CAREGIVER education , *REHABILITATION , *CONTINUUM of care , *HEALTH services accessibility , *INTERVIEWING , *RESEARCH methodology , *MEDICAL care , *PATIENT education , *STATISTICS , *TELEPHONES , *QUALITATIVE research , *DATA analysis , *SOCIOECONOMIC factors , *THEMATIC analysis , *DISCHARGE planning , *INFORMATION needs , *PATIENTS' attitudes , *FUNCTIONAL assessment , *STROKE rehabilitation , *FAMILY attitudes , *DESCRIPTIVE statistics , *ECONOMICS ,RESEARCH evaluation - Abstract
Aim: To explore what the obstacles are that deter patients from continuing stroke rehabilitation after discharge from hospital in Singapore. Methods: In this qualitative study, individual semi-structured telephone interviews were undertaken and analysed using inductive thematic analysis. Thirty one stroke patients, who had been discharged from the hospital after inpatient rehabilitation (mean age=66.46 years, mean duration postdischarge= 95.82 days), were interviewed. Results: Five themes were identified as obstacles to post-discharge stroke rehabilitation including: the means to access rehabilitative services; lapse in discharge coordination; family members’ views and actions; discrepancies in expectation; and the perception that rehabilitation is simple. Participants indicated a need for timely and appropriate information, delivered according to their individualised needs. Conclusion: Study findings revealed that the absence of a smooth transition through the continuum of stroke care and not having a common understanding of rehabilitation accounts for the lack of adherence to therapy recommendations. The results suggest that clinicians need to be more aware of their role in providing well-coordinated information about therapy. The study also highlighted the need to review the goal-setting processes that guide the course of rehabilitation. Goals should be more patient-centred to reduce the discrepancies in expectations of rehabilitation. There needs to be a greater involvement of carers in discharge planning to minimise the dissatisfaction in care arrangements and information delivery. [ABSTRACT FROM AUTHOR]
- Published
- 2014
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