Demir Yasemin Parlak, Balci Nilay Çömük, Ünlüer Nezehat Özgül, Uluğ Naime, Dogru Esra, Kilinç Muhammed, Yildirim Sibel Aksu, Yilmaz Öznur
Top Stroke Rehabil. 2015 Oct;22(5):377-85. doi: 10.1179/1074935714Z.0000000042. Epub 2015 Mar 31.
The similarities or differences of the three some (physiotherapists, patients, and caregivers) thought about the process of stroke rehabilitation can play a key role in the success of rehabilitation.
The aim of this qualitative study was to investigate the perspectives of the three some, with regard to the two themes of the study: (1) What are the problems faced by the patients after stroke?; and (2) What does recovery after stroke mean to you?
The qualitative questions and possible answers were prepared by four physiotherapists. The answers were matched to International Classification of Functioning (ICF) components. Seventy patients who were having treatment as in-patient rehabilitation centers, their caregivers, and physiotherapists were invited to the study. After the questions were asked and the possible response choices were presented, subjects were asked to prioritize these response choices.
One hundred and fifty-nine subjects, including 53 patients, 53 caregivers, and 53 physiotherapists, were included to the study. When the theme 1 were examined, we found that the patients' first priority was functional abilities (ICF: body function and structure) such as using the hands and feet while the caregivers and physiotherapists prioritized self-care problems (ICF: activity and participation). The most common response to the theme 2 was "being in same health condition before the disease" (ICF: activity and participation) among the patients and caregivers and "being able to move arm and leg on the affected side" (body function and structure) among the physiotherapists.
As a conclusion, problems faced by the patients, caregivers, and physiotherapists were perceived under the same ICF domain and that caregivers' and physiotherapists' priorities were the same.
物理治疗师、患者和护理人员这三方对于中风康复过程的看法异同，可能在康复成功与否方面发挥关键作用。
这项定性研究的目的是调查这三方对于该研究两个主题的看法：（1）中风后患者面临哪些问题？（2）中风后的康复对你意味着什么？
四个物理治疗师准备了定性问题及可能的答案。答案与国际功能分类（ICF）的组成部分相匹配。邀请了70名在住院康复中心接受治疗的患者、他们的护理人员以及物理治疗师参与该研究。在提出问题并给出可能的回答选项后，要求受试者对这些回答选项进行排序。
159名受试者纳入研究，其中包括53名患者、53名护理人员和53名物理治疗师。在研究主题1时，我们发现患者的首要任务是诸如手脚使用等功能能力（ICF：身体功能和结构），而护理人员和物理治疗师则将自我护理问题（ICF：活动和参与）列为优先事项。对于主题2，患者和护理人员最常见的回答是“恢复到患病前的健康状态”（ICF：活动和参与），而物理治疗师的回答是“患侧手臂和腿部能够活动”（身体功能和结构）。
总之，患者、护理人员和物理治疗师所面临的问题在相同的ICF领域中被认知，并且护理人员和物理治疗师的优先事项相同。
