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Det behövs en knuff liksom nu och då för att man ska komma vidare: En kvalitativ intervjustudie om upplevelser och erfarenheter av att få rehabiliterande insatser i ett varmt klimat bland patienter med neurologiska sjukdomar
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
2020 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
A qualitative interview study on the experiences of receiving rehabilitation in a warm climate among patients with neurological diseases (English)
Abstract [sv]

Bakgrund Patienter med neurologiska sjukdomar är ofta i behov av rehabiliterande insatser för att kunna bibehålla kroppsliga funktioner och klara av dagliga aktiviteter. I vissa fall får dessa patienter möjlighet att delta i rehabiliteringsperioder i ett varmt klimat (klimatvård). En rehabiliteringsperiod pågår oftast i 3-4 veckor och inkluderar multidisciplinär vård med bland annat fysioterapi. Det finns en begränsad kännedom gällande upplevelser av fysioterapeutiska insatser vid klimatvård och dess effekter.

Syfte Syftet med denna intervjustudie var att undersöka och beskriva erfarenheter och upplevelser av fysioterapeutiska insatser vid klimatvård bland patienter med neurologiska sjukdomar.

Design och metod Studien var kvalitativ med en explorativ design där data inhämtades genom fem semistrukturerade intervjuer. Vid databearbetning användes kvalitativ innehållsanalys med induktiv ansats.

Resultat Studiens resultat tyder på att den fysioterapeutiska behandlingen var central och att individanpassad intensivträning upplevdes som fördelaktigt av studiens deltagare. Ett patientcentrerat arbetssätt framkom som viktigt för rehabiliteringens resultat. Andra faktorer som beskrevs som värdefulla och påverkade den totala rehabiliteringen var det varma klimatet, det sociala utbytet med andra deltagare samt att komma ifrån sin vardagliga kontext. Ökad motivation till fysisk aktivitet framkom som en viktig effekt av att få klimatvård.

Konklusion Socialt stöd, det varma klimatet och lyhörd rehabiliteringspersonal bidrog till en positiv upplevelse av de fysioterapeutiska insatserna vid klimatvård. Upplevelser av ökad motivation till fysisk aktivitet och fler positiva hälsoeffekter innebär att klimatvård skulle kunna betraktas som ett värdefullt komplement till rehabiliterande vård.

Abstract [en]

Background Patients with neurological diseases are often in need of rehabilitative medical care in order to sustain body-function and manage activities in daily life. In some cases, rehabilitation in a warm climate is offered to patients within this group. The rehabilitation period often includes multidisciplinary medical care and will go on for 3-4 weeks. Physiotherapy is commonly a central part of the period. There is limited knowledge in regard to the experiences of receiving physiotherapy during a rehabilitation period in a warm climate and its effects.

Purpose/Aim of the study The aim of the present study was to explore and describe experiences of receiving physiotherapy during a rehabilitation stay in a warm climate among patients with neurological diseases.

Design & Method This study had a qualitative and exploratory design were data was collected through five semi-structured interviews. To analyze the data a qualitative, inductive approach was used.

Result The result of this study suggest that physiotherapy was a central part of the rehabilitation stay and that intensive and individually designed exercise programs were beneficial. Patient-centered care was described as important to the result of the stay. Factors such as the warm climate, social support and being away from one’s daily environment were reported to be crucial in regard to the total rehabilitation experience. An enhanced level of motivation to physical activity was described as an important effect of receiving medical care in a warm climate.

Conclusion Social support, a warm climate and responsive health care professionals contributed to a positive experience of receiving physiotherapy as a part of a rehabilitation stay. Experiences of enhanced motivation towards physical activity and more positive health outcomes suggest that a rehabilitation stay in a warm climate could be considered as a medical care complement. 

Place, publisher, year, edition, pages
2020.
Keywords [en]
Physiotherapy, neurological diseases, warm climate, rehabilitation
Keywords [sv]
Klimatvård, neurologiska sjukdomar, rehabilitering, fysioterapi
National Category
Physiotherapy
Identifiers
URN: urn:nbn:se:uu:diva-402336OAI: oai:DiVA.org:uu-402336DiVA, id: diva2:1385389
Educational program
Physiotherapy programme
Supervisors
Examiners
Available from: 2020-01-14 Created: 2020-01-14 Last updated: 2020-01-14Bibliographically approved

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