WOW! You really know nothing about stroke survivors, do you?
Experiences of Young and Middle-Aged Stroke Patients with Hemiplegia Who Actively Participate in Rehabilitation Exercises and Their Perceptions of Well-Being: A Descriptive Qualitative Study
Received 13 December 2024
Accepted for publication 27 May 2025
Published 21 June 2025 Volume 2025:18 Pages 2049—2062
DOI https://doi.org/10.2147/RMHP.S509536
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Haiyan Qu
Yumeng Si,1,2 Xingxian Huang,2 Shiting Zhao,2 Ziyang Ou,2 Min Pi,2,* Jing Du2,*
1Anhui University of Chinese Medicine, Hefei, 230012, People’s Republic of China; 2Shenzhen Traditional Chinese Medicine Hospital, Shenzhen, 518033, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Jing Du, Email 57396171@qq.com Min Pi, Email pppimin@qq.com
Background: Young and middle-aged stroke patients who suffer from neurological deficits brought on by hemiplegia experience significant physical and psychological effects.This study was designed to explore the experience of these patients during active participation in rehabilitation exercises and their perception of well-being. The purpose was to inform the clinical development of individualized rehabilitation programs.
Methods: Purposive sampling was employed to conduct semi-structured, in-depth interviews with 16 young and middle-aged stroke hemiplegic patients (18– 59 years old) using a descriptive qualitative research approach. Thematic analysis was used for data analysis.
Results: Five core themes were identified: (1) motivation for the rehabilitation movement
Motivation for survivors is easy: 100% recovery protocols! AND YOU WERE TOO FUCKING DUMB TO FIGURE THAT OUT? It takes a stroke survivor to educate you blithering idiots!
My conclusion is you don't understand ONE GODDAMN THING ABOUT SURVIVOR MOTIVATION/ADHERENCE, DO YOU? You create EXACT 100% recovery protocols, and your survivor will be motivated to do the millions of reps needed because they are looking forward to 100% recovery. I'd fire all of you for absurd incompetence! GET THERE!
, (2) the importance of the rehabilitation environment, (3) challenges for the rehabilitation movement, (4) psychological dynamics and growth in rehabilitation, and (5) rehabilitants’ unique perception of well-being. In addition, it is important to note that, the well-being of the majority of the young and middle-aged stroke patients with hemiplegia in this study remained substantially reduced after the disease despite the fact that they were actively engaged in rehabilitation exercises.
Conclusion: Young and middle-aged stroke patients with hemiplegia who actively participate in rehabilitation have a variety of needs and experiences(NO, they don't you blithering idiots, they all want 100% recovery! Since you can't see that, you're too fucking stupid to work in stroke!). Their rehabilitation process includes not only the restoration of physical function but also the reconstruction of psychological adaptability and the dynamic transformation of well-being. Nonetheless, the current rehabilitation system has glaring flaws when it comes to considering the combined benefits of psychological and physical therapies. In order to remedy the situation, it is advised that well-being be included in stroke rehabilitation, that commonly used rehabilitation and psychological intervention programs be covered by health insurance, as well as reimbursement rates be raised. In this way, a system of health care coverage and support for patients’ complete recovery will eventually be built.
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