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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

Kylén, Maya LU orcid ; Ytterberg, Charlotte ; von Koch, Lena and Elf, Marie (2022) In Health and Social Care in the Community 30(5). p.1933-1943
Abstract

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... (More)

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.

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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
health and the environment, home care, housing and community care, rehabilitation, stroke rehabilitation
in
Health and Social Care in the Community
volume
30
issue
5
pages
1933 - 1943
publisher
Wiley-Blackwell
external identifiers
  • pmid:34541725
  • scopus:85115110896
ISSN
0966-0410
DOI
10.1111/hsc.13572
language
English
LU publication?
yes
additional info
Publisher Copyright: © 2021 The Authors. Health and Social Care in the Community published by John Wiley & Sons Ltd.
id
164dd8e2-e8d6-485e-b68e-d36044cadfb1
date added to LUP
2021-10-13 13:32:08
date last changed
2024-04-06 10:32:43
@article{164dd8e2-e8d6-485e-b68e-d36044cadfb1,
  abstract     = {{<p>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.</p>}},
  author       = {{Kylén, Maya and Ytterberg, Charlotte and von Koch, Lena and Elf, Marie}},
  issn         = {{0966-0410}},
  keywords     = {{health and the environment; home care; housing and community care; rehabilitation; stroke rehabilitation}},
  language     = {{eng}},
  number       = {{5}},
  pages        = {{1933--1943}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{Health and Social Care in the Community}},
  title        = {{How is the environment integrated into post-stroke rehabilitation? A qualitative study among community-dwelling persons with stroke who receive home rehabilitation in Sweden}},
  url          = {{http://dx.doi.org/10.1111/hsc.13572}},
  doi          = {{10.1111/hsc.13572}},
  volume       = {{30}},
  year         = {{2022}},
}