Care of stroke survivors in community: a case study of rural Thai community

Abstract

PurposeThis study aims to describe survivors of stroke circumstances, issues with providing care for survivors of stroke and services expected by caregivers and survivors of stroke.Design/methodology/approachA qualitative research design was conducted in Singburi Province. Data collection methods included in-depth interviews, focus groups and participatory observations. Semi-structured in-depth interview guides, quality-of-life scale and depression scale were used to collect data from survivors of stroke, their caregivers, health personnel, local governors and village health volunteers. Naturalistic research tradition was used for qualitative data analysis and descriptive statistics for quantitative data analysis.FindingsThe majority of survivors of stroke had hemiplegic limb and severe deficits in their activities of daily living. Caregivers were family members, and they often developed depression. Issues with providing care to stroke survivors included lack of knowledge about stroke and home care, inadequacy and discontinuity of care and the shortage of stroke care personnel in the community. A stakeholder's expected stroke services included the provision of effective continuing care, community participation in care and enhancing the village health volunteer's capacity.Originality/valueThis study illustrated the stroke service systems in rural Thai communities. The study's findings could be applied when planning future research using community participation to test a model of care for stroke survivors to promote better outcomes and be responsive to the needs of stroke survivors, especially those who are disabled.

One-year recurrence of stroke and death in Lebanese survivors of first-ever stroke: Time-to-Event analysis

“…Living with family members was found to have a significant negative association with 1-year stroke recurrence, which was consistent with previous studies ( 98 , 100 ). The important step in the continuum of care for stroke survivors is receiving care from family members while living at home ( 101 , 102 ).…”

Effectiveness Of Stroke Patient's Rehabilitation Model with Thai Traditional Medicine Via Mobile Application and Rehabilitation Manual for Caregivers

“…Therefore, each year, the number of patients requiring rehabilitation increases accordingly. [8,9] Although the Ministry of Public Health has a policy for all hospitals to prepare for rehabilitation care for stroke patients from being admitted until sent home by coordinating multidisciplinary teams to organize home visit activities [10] and promote the use of Thai traditional medicine to play a role in the health service system to increase patient options [11]. With many problems, such as insufficient staffing rates and caregivers' lack of knowledge of rehabilitating stroke patients, especially during the COVID-19 pandemic, access to rehabilitation services has more obstacles, leading to many patients undergoing ineffective rehabilitation [12].…”