Gustafsson Louise A, Hodson Tenelle J, Fleming Jennifer M, Hoyle Melanie F
Division of Occupational Therapy, The University of Queensland, School of Health and Rehabilitation Sciences , Brisbane, Queensland , Australia and.
Disabil Rehabil. 2014;36(26):2244-51. doi: 10.3109/09638288.2014.904937. Epub 2014 Mar 27.
The purpose of this study was to investigate the experiences and expectations of people with stroke, during their transition from hospital to home, after participating in a novel inpatient outreach program, entitled STRENGTH.
A qualitative study was conducted using semi-structured interviews, which were undertaken at discharge and 4-6 weeks post discharge. Thematic analysis was used to code the interview transcripts.
The study incorporated data from seven people with stroke, who had a mean age of 61 years. Thematic analysis derived two themes, each with two sub-themes. The first theme was "Hospital and home" and described clients' experiences of therapy and the hospital environment. The second theme was "Life will never be what it was before" and elaborated on the adaptations and changing expectations that clients had before and after discharge.
People with stroke described the therapy they received in both the hospital and home as beneficial. The results support the addition of the home-based inpatient program, STRENGTH, to the current rehabilitation system, as it appeared to realign the expectations of people with stroke and better prepare them for their discharge home.
本研究旨在调查中风患者在参加一项名为“力量（STRENGTH）”的新型住院外展项目后，从医院过渡到家庭期间的经历和期望。
采用定性研究方法，通过半结构化访谈进行，访谈在出院时和出院后4至6周进行。采用主题分析法对访谈记录进行编码。
该研究纳入了7名中风患者的数据，他们的平均年龄为61岁。主题分析得出两个主题，每个主题有两个子主题。第一个主题是“医院与家庭”，描述了患者的治疗体验和医院环境。第二个主题是“生活将不再如从前”，阐述了患者出院前后的适应情况和不断变化的期望。
中风患者表示他们在医院和家中接受的治疗都有益处。研究结果支持在当前的康复系统中增加名为“力量（STRENGTH）”的居家住院项目，因为该项目似乎调整了中风患者的期望，并更好地帮助他们为出院回家做好准备。
