Therapeutic itinerary of stroke survivors in a Nigerian tertiary hospital

Rev Rene

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Title Therapeutic itinerary of stroke survivors in a Nigerian tertiary hospital
Itinerário terapêutico de sobreviventes de acidente vascular cerebral em um hospital terciário nigeriano
 
Creator Mbada, Chidozie Emmanuel
Ogunleye, Oluwayemisi Mary
Ogundele, Abiola Oladele
Oyewole, Olufemi Oyeleye
Ademoyegun, Adekola Babatunde
Obembe, Adebimpe Olayinka
Fatoye, Francis
 
Subject Complementary Therapies; Rehabilitation; Stroke; Physical Therapy Specialty.
Terapias Complementares; Reabilitação; Acidente Vascular Cerebral; Fisioterapia.
 
Description Objective: to analyze the therapeutic itinerary of stroke survivors from stroke occurrence to rehabilitation. Methods: therapeutic itinerary - route taken by individuals to solve their health problems, of 12 stroke survivors was explored using in-depth interviews and was thematically analyzed. Results: stroke survivors’ routes were influenced by type of stroke and the state of the patient at onset of stroke. Lack of capacity facilitates vacillation from private to the public hospital settings. Entry into physiotherapy was dependent on self-referrals and referrals from physicians who often serve as gatekeeper of patients. Stroke significantly affected social life of stroke survivors, and the extent of stroke impairment and unmet expectations promotes medical pluralism among the survivors. Conclusion: stroke survivors are involved in intricate and lengthy therapeutic itineraries that are characterized by multiple care seeking practice.
Objetivo: analisar o itinerário terapêutico de sobreviventes de acidente vascular cerebral, desde sua ocorrência até a reabilitação. Métodos: itinerário terapêutico percorrido por 12 sobreviventes de acidente vascular cerebral para resolver seus problemas de saúde foi explorado usando entrevistas em profundidade e análise temática. Resultados: as rotas dos sobreviventes foram influenciadas pelo tipo e estado do paciente no início do acidente vascular cerebral. A falta de capacidade contribuiu para indecisão entre buscar atendimento em hospitais privados ou públicos. A entrada na fisioterapia dependeu da demanda espontânea e de encaminhamentos realizados por médicos que atuam como sentinelas dos pacientes. O acidente vascular cerebral afetou significativamente a vida social dos sobreviventes. A extensão do comprometimento do acidente vascular cerebral e expectativas não atendidas promovem o pluralismo médico entre os sobreviventes. Conclusão: sobreviventes de acidente vascular cerebral estão envolvidos em itinerários terapêuticos complexos e extensos, caracterizados pela prática de busca de múltiplos cuidados.
 
Publisher Universidade Federal do Ceará
 
Date 2021-02-23
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
 
Format application/pdf
application/pdf
 
Identifier http://periodicos.ufc.br/rene/article/view/60840
10.15253/2175-6783.20212260840
 
Source Rev Rene; Vol 22 (2021): Rev Rene; e60840
Rev Rene; v. 22 (2021): Rev Rene; e60840
2175-6783
1517-3852
 
Language por
eng
 
Relation http://periodicos.ufc.br/rene/article/view/60840/165701
http://periodicos.ufc.br/rene/article/view/60840/165702
 
Rights Copyright (c) 2021 Rev Rene
https://creativecommons.org/licenses/by/4.0
 

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