School of Information Systems and Technology, San Jose State University, San Jose, CA, USA.
Department of Informatics, University of California, Irvine, USA.
Top Stroke Rehabil. 2020 Mar;27(2):81-92. doi: 10.1080/10749357.2019.1683792. Epub 2019 Nov 4.
: This paper reports a qualitative study of a home-based stroke telerehabilitation system. The telerehabilitation system delivers treatment sessions in the form of daily guided rehabilitation games, exercises, and stroke education in the patient's home. The aims of the current report are to investigate patient perceived benefits of and barriers to using the telerehabilitation system at home.: We used a qualitative study design that involved in-depth semi-structured interviews with 13 participants who were patients in the subacute phase after stroke and had completed a six-week intervention using the home-based telerehabilitation system. Thematic analysis was conducted to analyze the data.: Participants mostly reported positive experiences with the telerehabilitation system. Benefits included observed improvements in limb functions, cognitive abilities, and emotional well-being. They also perceived the system easy to use due to the engaging experience and the convenience of conducting sessions at home. Meanwhile, participants pointed out the importance of considering technical support and physical environment at home. Further, family members' support helped them sustain in their rehabilitation. Finally, adjusting difficulty levels and visualizing patients' rehabilitation progress might help them in continued use of the telerehabilitation system.: Telerehabilitation systems can be used as an efficient and user-friendly tool to deliver home-based stroke rehabilitation that enhance patients' physical recovery and mental and social-emotional wellbeing. Such systems need to be designed to offer engaging experience, display of recovery progress, and flexibility of schedule and location, with consideration of facilitating and social factors.
本文报告了一项基于家庭的中风远程康复系统的定性研究。远程康复系统以日常指导康复游戏、锻炼和中风教育的形式在患者家中提供治疗。本报告的目的是调查患者在家中使用远程康复系统的感知益处和障碍。
我们采用了定性研究设计,对 13 名参与者进行了深入的半结构化访谈,这些参与者在中风后的亚急性期完成了为期六周的基于家庭的远程康复系统干预。采用主题分析对数据进行分析。
参与者大多报告了对远程康复系统的积极体验。益处包括观察到肢体功能、认知能力和情绪健康的改善。他们还认为系统易于使用,因为体验有趣,在家中进行治疗方便。同时,参与者指出了考虑家庭技术支持和物理环境的重要性。此外,家庭成员的支持有助于他们维持康复。最后,调整难度水平和可视化患者的康复进展可能有助于他们继续使用远程康复系统。
远程康复系统可以作为一种高效且用户友好的工具,用于提供基于家庭的中风康复,增强患者的身体恢复以及心理和社会情感健康。此类系统的设计需要提供有趣的体验、展示康复进展以及灵活的日程安排和地点,并考虑促进和社会因素。