Article

Although acute stroke care has improved survival, many individuals
report dissatisfaction with community reintegration after stroke. The aim of this
qualitative meta-synthesis was to examine the barriers and facilitators of
community reintegration in the first year after stroke from the perspective of
people with stroke. METHODS:
A systematic literature search was conducted. Papers
that used qualitative methods to explore the experiences of individuals with
stroke around community reintegration in the first year after stroke were
included. Two reviewers independently assessed the methodological quality of
papers. Themes, concepts and interpretations were extracted from each study,
compared and meta-synthesised. RESULTS: From the 18 included qualitative studies
four themes related to community reintegration in the first year after stroke
were identified: (i) the primary effects of stroke, (ii) personal factors, (iii)
social factors and (iv) relationships with professionals. CONCLUSIONS: This
review suggests that an individual's perseverance, adaptability and ability to
overcome emotional challenges can facilitate reintegration into the community
despite persisting effects of their stroke. Appropriate support from family,
friends, the broader community and healthcare professionals is important.
Therapeutic activities should relate to meaningful activities and should be
tailored to the individual stroke survivor. IMPLICATIONS FOR REHABILITATION:
Stroke survivors feel that rehabilitation in familiar environments and
therapeutic activities that reflect real-life could help their community
re-integration. In addition to the physical sequelae of stroke, emotional
consequences of stroke should be addressed during rehabilitation. Healthcare
professionals can provide clear and locally relevant advice to facilitate aspects
of community reintegration, including the return to driving and work.

Langue : ANGLAIS