Therapeutic itinerary of stroke survivors in a Nigerian tertiary hospital
DOI:
https://doi.org/10.15253/2175-6783.20212260840Keywords:
Complementary Therapies; Rehabilitation; Stroke; Physical Therapy Specialty.Abstract
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.
References
Feigin VL, Norrving B, Mensah GA. Global burden of stroke. Circ Res. 2017; 120(3):439-48. doi: https://dx.doi.org/10.1161/CIRCRESAHA.116308413
Donkor ES. Stroke in the 21stcentury: a snapshot of the burden, epidemiology, and quality of life. Stroke Res Treat. 2018; 2018:3238165. doi: https://dx.doi.org/10.1155/2018/3238165
Hartford W, Lear S, Nimmon L. Stroke survivors’ experiences of team support along their recovery continuum. BMC Health Serv Res. 2019; 19:723. doi:https://dx.doi.org/10.1186/s12913019-4533-z
Mellor RM, Bailey S, Sheppard J, Carr P, Quinn T, BoyalA, et al. Decisions and delays within stroke patients’ route to the hospital: a qualitative study. Ann Emerg Med. 2015; 65(3):279-87. doi. https://dx.doi.org/10.1016/j.annemergmed.201410.018
Nogueira LMV, Teixeira E, Basta PC, Motta MCS. Therapeutic itineraries and explanations for tuberculosis: an indigenous perspective. Rev Saúde Pública. 2015; 49:96. doi: http://doi.org/10.1590/S0034-8910.2015049005904
Have PT. Understanding qualitative research and ethnomethodology. London (UK): Sage; 2004.
Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurs Educ Today. 2004; 24(2):105-12. doi: https://dx.doi.org/10.1016/j.nedt.2003.10.001
Søvsø MB, Christensen MB, Bech BH, Christensen HC, Christensen EF, Huibers L. Contacting out-of-hours primary care or emergency medical services for time-critical conditions – impact on patient outcomes. BMC Health Serv Res. 2019; 19:813. doi: https://dx.doi.org/10.1186/s12019-4674-0
Seremwe F, Kaseke F, Chikwanha TM, Chikwasha V. Factors associated with hospital arrival time after the onset of stroke symptoms: a cross-sectional study at two teaching hospitals n Harare, Zimbabwe. Malawi Med J. 2017; 29(2):171-6. doi: https://dx.doi.org/10.4314/mmj.v29i2.18
Al-Balushi SMA, Khan MFR. Factors influencing the preference of private hospitals to public hospitals in Oman. Int J ManagInnov Entrepreneur Res. 2017; 3(2):67-78. doi: https://doi.org/10.18510/ijmier.2017.323
Gleeson H, Calderon A, Swami V, Deighton J, Wolpert M, Edbrooke-Childs J. Systematic review of approaches to using patient experience data for quality improvement in healthcare settings. BMJ Open. 2016; 6(8):e011907. doi: https://dx.doi.org/10.1136/bmjopen-2016-011907
Mweshi MM, Shula HK, Nkhata LA, Chiluba B. The best time to start stroke rehabilitation: a review of the evidence in resource-adequate and resource constrained settings. J Prev Rehabil Med. 2016; 1(1):7-15. doi: https://dx.doi.org/10.21617/jprm.2016.0101.2
Olaleye OA, Lawal ZI. Utilization of physiothe- rapy in the continuum of stroke care at a tertiary hospital in Ibadan, Nigeria. Afr Health Sci. 2017; 17(1):79-87. doi: https://dx.doi.org/10.4314/ahs.v17i1.11
Odunaiya NA, Ilesanmi T, Fawole AO, Oguntibeju OO. Attitude and practices of obstetricians and gynecologists towards involvement of physiotherapists in management of obstetric and gynecologic conditions.Int J Women’s Health. 2013; 5:109-14.doi: https://dx.doi.org/10.2147/IJWH.S34350
Hatem SM, Saussez G, Faille M, Prist V, Zhang X, Dispa D, et al. Rehabilitation of motor function after stroke: a multiple systematic review focused on techniques to stimulate upper extremity recovery. Front Hum Nuerosci. 2016; 10:442. doi: https://dx.doi.org/10.3389/fnhum.2016.00442
Arowoiya AI, Elloker T, Karachi F, Mlenzana N, Khuabi LAJN, Rhoda A. Using the World Health Organization’s Diability Assessment Schedule (2) to assess disability in community-dwelling stroke patients. S Afr J Physiother. 2017; 73(1):343. doi: https://dx.doi.org/10.4102/sajp.v73i1.343
Haley WE, Roth DL, Hovaster M, Clay OJ. Long-term impact of stroke on family caregiver well-being. Neurology. 2015; 84(13):1323-9. doi: https://dx.doi.org/10.1212/WNL.0000000000001418
Stub T, Quandt SA, Arcury TA, Sandberg JC, Kristoffersen AE. Complementary and conventional providers in cancer care: experience of communication with patients and steps to improve communication with other providers. BMC Complement Altern Med 2017; 17(1):301. doi: https://dx.doi.org/10.1186/s12906-017-1814-0
Amira OC, Okubadejo NU. Frequency of complementary and alternative medicine utilization in hypertensive patients attending an urban tertiary care Centre in Nigeria. BMC Complement Altern Med. 2007; 7(1):30. doi: https://dx.doi.org/10.1186/1472-6882-7-30
Borse SP, Singh DP, Nivsarkar M. Understanding the relevance of herb-drug interaction studies with special focus on interplays: a prerequisite for integrative medicine. Porto Biomed J. 2019; 4(2):e15. doi: https://dx.doi.org/10.1016/j.pbj.0000000000000015
