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Patient experience of neurologic rehabilitation: a qualitative investigation.

Abstract：

OBJECTIVE:To understand the experiences of patients who had undergone neurologic rehabilitation. DESIGN:An interpretative phenomenological analysis of semistructured interviews. SETTING:Neurologic rehabilitation unit. PARTICIPANTS:A purposive convenience sample of 8 past patients. INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURE:Participants' reports of neurologic rehabilitation obtained via in-depth semistructured interviews. RESULTS:Participants predominantly described positive experiences of rehabilitation. The superordinate theme person-centeredness was developed, which included 4 key themes: ownership, personal value, holistic approach, and therapeutic atmosphere. These reflected patients' perceptions of choice and control and feelings of personal respect and self-worth. These appeared to be promoted through the multidimensional benefits of the unit (eg, the understanding and friendly nature of staff and other patients, physical improvements, psychologic gains) as well as the unit's informal, relaxed environment. When present, these factors created a positive rehabilitation experience; when absent, a negative experience. CONCLUSIONS:These findings support those from other literature, which has identified person-centered care as a core element of successful rehabilitation and linked its absence to dissatisfaction with health care. This research has increased our understanding of patients' experience of neurologic rehabilitation, and could inform the development of a patient-centered assessment instrument for neurologic rehabilitation.

journal_name

Arch Phys Med Rehabil

journal_title

Archives of physical medicine and rehabilitation

authors

Wain HR,Kneebone II,Billings J

doi

10.1016/j.apmr.2007.11.050

subject

Has Abstract

pub_date

2008-07-01 00:00:00

pages

1366-71

issue

7

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(08)00277-3

journal_volume

89

pub_type

杂志文章

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