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探索沙特阿拉伯社区康复中心出院后中风患者的需求:IPA 定性探索性研究设计。

Exploring the needs of stroke patients after discharge from rehabilitation centres in Saudi Arabian communities: An IPA qualitative exploratory study design.

机构信息

School of Sports, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, United Kingdom.

出版信息

PLoS One. 2023 Sep 8;18(9):e0291263. doi: 10.1371/journal.pone.0291263. eCollection 2023.

Abstract

There are about 29 strokes per 100,000 people, annually, in the Kingdom of Saudi Arabia (KSA). These patients require long-term rehabilitation services to enhance recovery and independence in the community. Currently there are limited long-term rehabilitation services in KSA and research is needed to establish pathways for provision of community-based rehabilitation (CBR). To develop effective new CBR models, understanding the experiences and needs of stroke patients in KSA who have undergone poststroke care services is essential. This study aims to gain insight into stroke patients' needs after their discharge from rehabilitation centres in Saudi Arabia. An interpretive phenomenological analysis (IPA) study was undertaken using semi-structured interviews. Participants were eligible if they had a stroke, completed their in-hospital rehabilitation sessions and had been discharged within the past three years. Semi-structured interviews were conducted using interview guides. Transcripts were translated and analysed using interpretive phenomenological analysis. Twenty-four (15 males and 9 females) participants were recruited from two hospitals in KSA. The key findings suggested that patients experienced limited community rehabilitation services postdischarge unless they were financially able to pay for private therapy. Coping barriers including Medical, Psychological, Social, and Financial and facilitators including Faith, Recovery, Social support and leisure were identified. Participants suggested strategies to improve services within hospital and community for rehabilitation, needs of staff, access to services and ongoing care. Further work is required to develop, implement and evaluate a community rehabilitation intervention that includes education, and self-management elements to support stroke survivors in the community in KSA.

摘要

在沙特阿拉伯王国(KSA),每年每 100,000 人中约有 29 人患有中风。这些患者需要长期的康复服务,以提高他们在社区中的康复和独立能力。目前,KSA 的长期康复服务有限,需要研究来建立社区康复(CBR)的提供途径。为了开发有效的新 CBR 模式,了解在沙特阿拉伯接受过中风后护理服务的中风患者的体验和需求至关重要。本研究旨在深入了解沙特阿拉伯康复中心出院后的中风患者的需求。采用解释性现象学分析(IPA)研究方法,对符合条件的参与者进行半结构化访谈。参与者必须符合以下条件:患有中风、完成住院康复疗程并在过去三年内出院。使用访谈指南进行半结构化访谈。翻译并使用解释性现象学分析对转录本进行分析。从 KSA 的两家医院招募了 24 名(15 名男性和 9 名女性)参与者。主要发现表明,患者在出院后很少能获得社区康复服务,除非他们有经济能力支付私人治疗费用。确定了应对障碍,包括医疗、心理、社会和经济方面的障碍,以及信仰、康复、社会支持和休闲等促进因素。参与者提出了改善医院和社区康复服务、工作人员需求、服务获取和持续护理的策略。需要进一步努力开发、实施和评估包括教育和自我管理要素的社区康复干预措施,以支持沙特阿拉伯社区中的中风幸存者。

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