Individualised home-based rehabilitation after stroke in eastern Finland - the client's perspective.

Reintegration into society is one of the main purposes of post-stroke rehabilitation. The experiences of clients returning home after a stroke have been studied before. There is, however, little knowledge about activities carried out during home-based rehabilitation interventions and about the invol...

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Publicado en:Health & Social Care in the Community Vol. 24; no. 1; pp. 77 - 86
Autores principales: Reunanen, Merja A. T., Järvikoski, Aila, Talvitie, Ulla, Pyöriä, Outi, Härkäpää, Kristiina
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Jan2016
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2016
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      pub: Wiley-Blackwell
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        atl: Individualised home-based rehabilitation after stroke in eastern Finland - the client's perspective.
      aug:
        au:
          Reunanen, Merja A. T.
          Järvikoski, Aila
          Talvitie, Ulla
          Pyöriä, Outi
          Härkäpää, Kristiina
        affil: Department of Health Care, Mikkeli University of Applied Sciences, Savonlinna Finland
      sug:
        subj:
          Home Rehabilitation Methods
          Stroke Patients Psychosocial Factors
          Patient Attitudes
          Finland
          Human
          Interviews
          Male
          Female
          Middle Age
          Aged
          Aged, 80 and Over
          Multidisciplinary Care Team
          Physical Therapists
          Qualitative Studies
          Audiorecording
          Thematic Analysis
          Funding Source
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Reintegration into society is one of the main purposes of post-stroke rehabilitation. The experiences of clients returning home after a stroke have been studied before. There is, however, little knowledge about activities carried out during home-based rehabilitation interventions and about the involvement of clients in the process. This study focused on clients' experiences of a 3-month individualised, home-based rehabilitation programme supervised by a multidisciplinary team. The data were collected in 2009-2010, and it was based on interviews with 14 clients (48-83 years of age) conducted approximately 7 months after stroke. In the thematic analysis, five main topics describing the goals and functions of the home-based rehabilitation were identified as follows: (i) learning strategies for solving problems in daily activities at home and in the community; (ii) receiving exercise coaching; (iii) exploring community services and facilities; (iv) having a dialogue with professionals; and (v) engaging in activities aimed at returning to work. Implementing rehabilitation activities in the home environment seemed to enhance the participants' active involvement and their ability to evaluate themselves and to set goals for their recovery. Work was an important goal for clients of working age, but work-related tasks were not sufficiently integrated with home-based rehabilitation. A challenge for local communities is to provide health promotion and recreation services that are also suitable for persons with limited functioning.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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