Makaula Onika, Msomi Ntandoyenkosi L, Ross Andrew J
Department of Public Health Medicine, College of Health Sciences, University of KwaZulu-Natal, Durban.
S Afr Fam Pract (2004). 2025 Jun 30;67(1):e1-e8. doi: 10.4102/safp.v67i1.6137.
Integrating physical activity (PA) into rehabilitation practice is critical for promoting patient recovery and high quality of life. However, policy gaps, infrastructure constraints and resource limitations often hinder its effective implementation, particularly in public health care settings.
An inductive thematic analysis of virtual individual semi-structured interviews with therapists was conducted via NVivo. Participants (N = 10) shared insights on their perspectives of integrating PA into rehabilitation practices regarding policy, infrastructure and development.
Ten subthemes emerged related to policy (two subthemes), infrastructure (four subthemes) and development (four subthemes) of PA in rehabilitation practice.
While PA is essential for holistic patient care, therapists face systemic barriers that require policy reforms, interprofessional collaboration and investment in resources and infrastructure. Creative strategies currently mitigate these challenges but remain limited in scope of practice.Contribution: This article documents the need for policy development and resource allocation to better integrate PA into rehabilitation, whilst addressing key developmental and infrastructure gaps.
将体育活动(PA)纳入康复实践对于促进患者康复和提高生活质量至关重要。然而,政策差距、基础设施限制和资源有限常常阻碍其有效实施,尤其是在公共卫生保健环境中。
通过NVivo对治疗师进行虚拟个人半结构化访谈,并进行归纳主题分析。参与者(N = 10)就他们对将体育活动纳入康复实践在政策、基础设施和发展方面的看法分享了见解。
出现了与康复实践中体育活动的政策(两个子主题)、基础设施(四个子主题)和发展(四个子主题)相关的十个子主题。
虽然体育活动对于全面的患者护理至关重要,但治疗师面临系统性障碍,这需要政策改革、跨专业协作以及对资源和基础设施的投资。目前创造性策略缓解了这些挑战,但在实践范围上仍然有限。贡献:本文记录了制定政策和分配资源以更好地将体育活动纳入康复的必要性,同时解决关键的发展和基础设施差距。