Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden; Department of Occupational Therapy and Physiotherapy, Sahlgrenska University Hospital, Gothenburg, Sweden.
Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden.
J Rehabil Med. 2024 Feb 8;56:jrm19502. doi: 10.2340/jrm.v56.19502.
Stroke unit care is highly recommended after stroke, but patients in these units are often physically inactive. The aim of this study was to explore patient experiences of physical activity and inactivity in the stroke unit.
Qualitative interview study.
Sixteen participants with stroke; a heterogeneous sample with differences in sex, age, and stroke severity from 8 Swedish stroke units.
In-depth interviews 1-2 weeks after discharge analysed using thematic analysis.
The analysis resulted in three themes: 1: Dealing with the challenges of a changed body while striving to become independent; 2: The stroke unit is crucial for physical activity; and 3: Physical activity is important for interaction with others, autonomy, and feeling seen. Participants described how they coped with a new situation when finding new ways to move and function. In addition, they wanted to be involved in their own stroke rehabilitation.
The participants expressed the following experiences of being in the stroke unit: movement is more important than physical activity and involves being seen and respected; physical activity and exercise are necessary to achieve independence; process involvement is of importance to regain abilities; physical activity offers the possibility of choosing between community and being alone and influences the ability to connect with others and the outside world.
中风后强烈推荐入住卒中单元进行治疗，但这些病房中的患者通常身体不活动。本研究旨在探讨卒中单元中患者的身体活动和不活动体验。
定性访谈研究。
16 名来自瑞典 8 家卒中单元的中风患者；样本具有性别、年龄和中风严重程度的差异，为异质样本。
使用主题分析法对出院后 1-2 周进行的深入访谈进行分析。
分析结果得出了三个主题：1：在努力变得独立的同时应对身体变化的挑战；2：卒中单元对身体活动至关重要；3：身体活动对于与他人互动、自主和被看到很重要。参与者描述了他们如何应对新情况，找到新的移动和功能方式。此外，他们希望参与自己的中风康复。
参与者表达了在卒中单元的以下体验：活动比身体活动更重要，包括被看到和尊重；身体活动和锻炼对于实现独立是必要的；过程参与对于恢复能力很重要；身体活动提供了在社区和独处之间进行选择的可能性，并影响与他人和外部世界联系的能力。
