Neurobiology Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden Nursing Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Top Stroke Rehabil. 2012 Sep-Oct;19(5):395-404. doi: 10.1310/tsr1905-395.
Successful stroke rehabilitation is a complex process involving teamwork by members of several professions. The aims of this study were to explore the experiences of Iranian rehabilitation experts concerning community rehabilitation services for stroke survivors and obtain their opinions on how to further develop and improve these services.
A qualitative research method with grounded theory was used, including purposive and theoretical sampling. A constant comparative analysis was conducted. Data were gathered from 2 focus group discussions including 10 Iranian rehabilitation experts and 4 in-depth individual interviews.
Nonintegrated rehabilitation services emerged as the core concept of the study. The explored concepts were identified as deficiently allocated budget, inadequate public insurance, lack of availability of rehabilitative care, negative public opinion, lack of consistency in care, and split services and professional separation. Areas identified for potential improvement included need to change policymakers' attitudes, need to refine rehabilitation in the health care system, need to establish a registration system, need to provide information and skills, and need to see the family as a whole.
Experts should participate in educational rehabilitation programs to become more aware of current rehabilitation services within the community. Stroke survivors and their families should also participate in the rehabilitation programs as this would allow them to gain knowledge and skills for dealing with stroke management. This can help reduce problems, change public opinion, and eliminate mistrust between health care providers and families.
成功的中风康复是一个涉及多个专业人员团队合作的复杂过程。本研究的目的是探讨伊朗康复专家对中风幸存者社区康复服务的经验，并就如何进一步发展和改善这些服务征求他们的意见。
采用扎根理论的定性研究方法，包括有目的和理论抽样。进行了持续的比较分析。数据来自于包括 10 名伊朗康复专家在内的 2 个焦点小组讨论和 4 次深入的个人访谈。
非整合的康复服务是本研究的核心概念。探讨的概念被确定为预算分配不足、公共保险不足、康复护理缺乏、负面舆论、护理缺乏一致性以及服务分裂和专业分离。确定的潜在改进领域包括需要改变政策制定者的态度、需要完善医疗保健系统中的康复、需要建立登记制度、需要提供信息和技能、以及需要将家庭视为一个整体。
专家应参与教育康复计划，以提高对社区内现有康复服务的认识。中风幸存者及其家属也应参加康复计划，因为这将使他们获得处理中风管理的知识和技能。这有助于减少问题、改变公众舆论，并消除医疗服务提供者与家庭之间的不信任。
