Stroke Patients’ Experiences after inpatient stroke intermediate care Rehabilitation at Chiang Mai Neurological Hospital: Qualitative Research

Abstract

This qualitative study aims to explore the experiences of stroke patients after inpatient stroke intermediate care rehabilitation at Chiang Mai Neurological Hospital. The participants were 10 stroke patients who received inpatient intermediate care rehabilitation at the hospital between August and October 2023. Phenomenological research was applied in this study. Data were collected through in-depth interviews based on research questions developed
by the researchers and approved by experts. The data were analyzed using content analysis.
The results revealed three key themes: (1) Experience in inpatient stroke intermediate care rehabilitation: Reasons for receiving services for continued treatment under their healthcare scheme, received recommendations from previous patients, and the availability of qualified personnel, facilities, and advanced technologies. Key-informants received physical therapy, occupational therapy and some patients received robotic assisted gait training as part of their rehabilitation. (2) Problems and barriers: Lack of caregivers, which limited their opportunities for receiving care, disrupted service continuity due to weekends and holidays, and a lack of understanding about stroke. (3) Service needs: Key-informants expressed a desire for more intensive rehabilitation, rehabilitation services on weekends, supportive equipment for rehabilitation, and more information about stroke. The findings of this study can inform the development of more effective and efficient intermediate care rehabilitation services for stroke patients, helping to enhance both the quality and outcomes of care.