Urimubenshi G, Rhoda A
Physiotherapy Department, Kigali Health Institute, Rwanda.
Afr Health Sci. 2011 Sep;11(3):398-405.
Patients with stroke experience a number of environmental barriers, limiting their re-integration. Information regarding the barriers experienced by patients with stroke in a specific setting such as the Musanze district in Rwanda would assist with the development of rehabilitation programmes that would take into consideration the barriers experienced by the clients.
To explore the barriers experienced by patients with stroke residing in Musanze District.
In-depth face-to-face interviews were used to gather the data which were analysed using a thematic approach.
Three major themes of the environmental barriers experienced by the study participants that emerged were social, attitudinal and physical barriers. Sub-themes that arose within the social barriers theme included lack of social support and inaccessible physiotherapy services. In terms of attitudinal barriers, the participants reported negative attitudes of others towards them. The sub themes related to physical barriers as described by the participants were inaccessible pathways and toilets.
The findings of this study highlight the need for interventions that include awareness and education of communities about disability and advocating for accessible services and physical structures for persons with disabilities.
中风患者面临诸多环境障碍，限制了他们重新融入社会。了解卢旺达穆桑泽地区等特定环境中中风患者所面临的障碍，将有助于制定康复计划，该计划会考虑到患者所面临的障碍。
探讨居住在穆桑泽地区的中风患者所面临的障碍。
采用深入的面对面访谈收集数据，并运用主题分析法进行分析。
研究参与者所面临的环境障碍出现了三个主要主题，即社会、态度和身体障碍。社会障碍主题下出现的子主题包括缺乏社会支持和理疗服务难以获得。在态度障碍方面，参与者报告了他人对他们的负面态度。参与者描述的与身体障碍相关的子主题是通道和厕所难以进入。
本研究结果强调了采取干预措施的必要性，这些措施包括提高社区对残疾的认识和教育，以及倡导为残疾人提供无障碍服务和物理设施。
