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“We could get them to become normal sooner than if they don’t receive Physical Therapy”: A qualitative interview study reflecting Thai physiotherapists thoughts and experiences regarding stroke rehabilitation
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
2019 (English)Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesisAlternative title
“Vi kan få dem att bli normala snabbare än om de inte får Fysioterapi” : En kvalitativ intervjustudie som belyser thailändska fysioterapeuters tankar och erfarenheter kring strokerehabilitering. (Swedish)
Abstract [en]

Background: Stroke affects 15 million people worldwide each year. The rehabilitation should be equal everywhere but that is not the case. Most evidence comes from research in high income countries and those circumstances may not be applied everywhere in the world. 

Aim: The aim of this study was to investigate the views of important elements of rehabilitation after stroke in clinical working physiotherapist and in lecturers in physiotherapy education in Thailand.

Design: This study had a qualitative exploratory research design due to collection of data through six individual semi-structured in-person interviews. The data analysis was preceded by a content analysis and had an inductive approach. 

Result: The analysis terminated in eight categories and 30 subcategories that reflected what the interviewees considered important. Examples on these categories were physiotherapeutic modalities, education, cooperation and patients’ characteristics. It was of high importance the care was individualized and planned together with the patient. Education throughout the carrier were crucial to be able to give the patients the best care possible.  

Conclusion: This study showed that physiotherapists in Thailand perceived many different important elements in stroke rehabilitation in Thailand. The outcome was not just depending on the treatment itself, but on several factors that surrounded the patient and the rehabilitation. These studies need to be done to be able to see the variations in treatment and the approach the health-care have on stroke rehabilitation in different countries. 

Abstract [sv]

Bakgrund: Stroke drabbar ungefär 15 miljoner människor världen över varje år. Alla ska ha samma chans till rehabilitering och lika vård vart man än bor i världen, detta är dock inte fallet. Mycket utav den evidens som finns idag är framtagen i höginkomstländer och situationen där kan inte appliceras globalt. 

Syfte: Syftet med denna studie var att undersöka åsikter hos thailändska kliniskt arbetande fysioterapeuter och lärare inom fysioterapeutisk utbildning angående viktiga element vid rehabilitering efter stroke. 

Design: Studien bestod av sex individuella semistrukturerade intervjuer och hade en kvalitativ explorativ forskningsdesign. Insamlad data analyserades genom innehållsanalys med en induktiv inriktning. 

Resultat: I databearbetningen framtogs åtta kategorier och 30 subkategorier som speglade de intervjuobjekten ansåg var viktigt. Exempel på kategorier var fysioterapeutiska modaliteter, utbildning, samarbete samt patientens tillgångar. Det var av yttersta vikt att behandlingen var individualiserad och planerad tillsammans med patienten. Utbildning genom det yrkessamma livet var viktigt för att ge den bästa möjliga vården för patienten. 

Konklusion: Studien visade att fysioterapeuter i Thailand anser att det finns många viktiga element inom strokerehabilitering. Utfallet på rehabiliteringen berodde inte endast på själva behandlingen utan även på en mängd andra faktorer som fanns i patientens omgivning samt inom rehabiliteringen. Fler studier inom ämnet behövs för att se hur synen på rehabilitering och vården samt hur själva rehabiliteringen skiljer sig mellan olika länder.

Place, publisher, year, edition, pages
2019.
Keywords [en]
physiotherapy, stroke, Thailand, rehabilitation
National Category
Physiotherapy
Identifiers
URN: urn:nbn:se:uu:diva-384268OAI: oai:DiVA.org:uu-384268DiVA, id: diva2:1319655
Educational program
Physiotherapy programme; Physiotherapy programme
Supervisors
Examiners
Available from: 2019-06-03 Created: 2019-06-03 Last updated: 2019-06-03Bibliographically approved

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