Mairami Fatima Fanna, Warren Narelle, Allotey Pascale A, Reidpath Daniel D
Jeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Bandar Sunway, Malaysia.
School of Social Sciences, Monash University, Clayton Campus, Melbourne, Australia.
Disabil Rehabil. 2020 Nov;42(22):3189-3198. doi: 10.1080/09638288.2019.1588399. Epub 2019 Apr 5.
A stroke is a sudden event which may leave individuals and their families ill-prepared to deal with the resultant disability. Several contextual factors can influence the recovery process. These factors, internal and external, exist interactively in the lived experiences of the survivors. The limited availability of rehabilitation centres that are located in urban centres meant that recovery predominately occurred outside of the biomedical health and instead relied upon the resources available to individuals and their families. A qualitative approach with data from in-depth interviews and observations were used to identify contextual factors that shaped recovery following stroke in a community. Twenty-seven individuals with stroke were drawn from a health and demographic surveillance system in Malaysia. Hope and optimism, coping strategies, motivation and support from family and friends, and the use of alternative and complementary medicine shaped the process of recovery within a context where infrastructure is extremely limited. The identification of factors that facilitate the recovery process provides a background in which health care providers can utilise to improve their understanding of the stroke experience. Such understanding could be instrumental in aiding health professionals to offer the most effective help to their clients.Implications for rehabilitationIdentification of contextual factors provides a background for the understanding of the stroke experience.Incorporation of religion into rehabilitation could support and maintain hope in recovery for the survivors and aid acceptance.A collaboration of healthcare professionals with traditional medicine therapists may prove beneficial for the rehabilitation of stroke survivors in Malaysia.
中风是一种突发疾病，可能使患者及其家人在应对由此产生的残疾时毫无准备。多种背景因素会影响康复进程。这些因素，包括内在和外在的，在幸存者的生活经历中相互作用。城市中心康复中心数量有限，这意味着康复主要在生物医学健康体系之外进行，而是依赖个人及其家庭可获取的资源。本研究采用定性研究方法，通过深入访谈和观察收集数据，以确定在一个社区中影响中风后康复的背景因素。27名中风患者来自马来西亚的一个健康与人口监测系统。在基础设施极为有限的背景下，希望与乐观心态、应对策略、家人及朋友的激励与支持，以及替代医学和补充医学的使用，塑造了康复过程。确定促进康复进程的因素，为医护人员增进对中风经历的理解提供了背景知识。这种理解有助于医护人员为患者提供最有效的帮助。
对康复的启示
确定背景因素为理解中风经历提供了背景知识。
将宗教融入康复过程可为幸存者在康复中提供支持并维持希望，有助于他们接受现实。
医疗保健专业人员与传统医学治疗师的合作可能对马来西亚中风幸存者的康复有益。
