http://onlinelibrary.wiley.com/doi/10.1111/hsc.12190/abstract;jsessionid=D5EFE6652A9DAD6BD4290E272A8CC794.f04t02?
Abstract
Reintegration
into society is one of the main purposes of post-stroke rehabilitation.
The experiences of clients returning home after a stroke have been
studied before. There is, however, little knowledge about activities
carried out during home-based rehabilitation interventions and about the
involvement of clients in the process. This study focused on clients'
experiences of a 3-month individualised, home-based rehabilitation
programme supervised by a multidisciplinary team. The data were
collected in 2009–2010, and it was based on interviews with 14 clients
(48–83 years of age) conducted approximately 7 months after stroke. In
the thematic analysis, five main topics describing the goals and
functions of the home-based rehabilitation were identified as follows:
(i) learning strategies for solving problems in daily activities at home
and in the community; (ii) receiving exercise coaching; (iii) exploring
community services and facilities; (iv) having a dialogue with
professionals; and (v) engaging in activities aimed at returning to
work. Implementing rehabilitation activities in the home environment
seemed to enhance the participants' active involvement and their ability
to evaluate themselves and to set goals for their recovery. Work was an
important goal for clients of working age, but work-related tasks were
not sufficiently integrated with home-based rehabilitation. A challenge
for local communities is to provide health promotion and recreation
services that are also suitable for persons with limited functioning.
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