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.

IF 2.7 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Risk Management and Healthcare Policy Pub Date : 2025-06-21 eCollection Date: 2025-01-01 DOI:10.2147/RMHP.S509536
Yumeng Si, Xingxian Huang, Shiting Zhao, Ziyang Ou, Min Pi, Jing Du
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Abstract

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, (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. 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.

中青年脑卒中偏瘫患者积极参与康复训练的经验及其幸福感:一项描述性质的研究。
背景:中青年脑卒中患者因偏瘫导致神经功能缺损,对其生理和心理均有显著影响。本研究旨在探讨这些患者在积极参与康复训练期间的体验和他们对健康的感知。目的是为个性化康复计划的临床发展提供信息。方法:采用目的抽样方法,采用描述性定性研究方法对16例18-59岁中青年脑卒中偏瘫患者进行半结构化深度访谈。数据分析采用专题分析。结果:确定了五个核心主题:(1)康复运动的动机;(2)康复环境的重要性;(3)康复运动面临的挑战;(4)康复中的心理动力学和成长;(5)康复者独特的幸福感感知。此外,值得注意的是,在本研究中,大多数中青年中风偏瘫患者在发病后,尽管他们积极进行康复训练,但他们的幸福感仍然大幅下降。结论:中青年脑卒中偏瘫患者积极参与康复有多种需求和体验。他们的康复过程不仅包括身体机能的恢复,还包括心理适应能力的重建和幸福感的动态转化。然而,当考虑到心理和物理治疗的综合效益时,目前的康复系统存在明显的缺陷。为了纠正这种情况,建议将福利纳入中风康复,将常用的康复和心理干预方案纳入健康保险,并提高报销率。通过这种方式,最终将建立一个覆盖和支持患者完全康复的医疗保健系统。
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来源期刊
Risk Management and Healthcare Policy
Risk Management and Healthcare Policy Medicine-Public Health, Environmental and Occupational Health
CiteScore
6.20
自引率
2.90%
发文量
242
审稿时长
16 weeks
期刊介绍: Risk Management and Healthcare Policy is an international, peer-reviewed, open access journal focusing on all aspects of public health, policy and preventative measures to promote good health and improve morbidity and mortality in the population. Specific topics covered in the journal include: Public and community health Policy and law Preventative and predictive healthcare Risk and hazard management Epidemiology, detection and screening Lifestyle and diet modification Vaccination and disease transmission/modification programs Health and safety and occupational health Healthcare services provision Health literacy and education Advertising and promotion of health issues Health economic evaluations and resource management Risk Management and Healthcare Policy focuses on human interventional and observational research. The journal welcomes submitted papers covering original research, clinical and epidemiological studies, reviews and evaluations, guidelines, expert opinion and commentary, and extended reports. Case reports will only be considered if they make a valuable and original contribution to the literature. The journal does not accept study protocols, animal-based or cell line-based studies.
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