Facilitators and barriers in the rehabilitation process described by persons with spinal cord injury: a deductive-inductive analysis from the Finnish spinal cord injury study.

Autor:	Tallqvist S; Doctoral Programme in Population Health, University of Helsinki, Helsinki, Finland., Eskola K; Doctoral Programme in Social Sciences, University of Helsinki, Helsinki, Finland.; Department of Rehabilitation and Psychosocial Support, Tampere University Hospital, Tampere, Finland., Täckman A; The Finnish Association of Spinal Cord Injured Akson, Helsinki, Finland., Kauppila AM; Department of Medical Rehabilitation/Spinal Cord Injury Outpatient Clinic, Oulu University Hospital, Oulu, Finland., Koskinen E; Department of Neurosciences, Tampere University Hospital, Tampere, Finland., Anttila H; Public Health and Welfare Department, Knowledge Management and Co-creation Unit, Finnish Institute for Health and Welfare (THL), Helsinki, Finland., Rajavaara M; Faculty of Social Sciences, University of Helsinki, Helsinki, Finland., Arokoski J; Department of Internal Medicine and Rehabilitation/Spinal Cord Injury Outpatient Clinic, Helsinki University Hospital, Helsinki, Finland.; Faculty of Medicine, University of Helsinki, Helsinki, Finland., Hiekkala S; The Finnish Association of People with Physical Disabilities, Helsinki, Finland.; Faculty of Sports and Health Sciences, University of Jyväskylä, Jyväskylä, Finland.
Jazyk:	angličtina
Zdroj:	Annals of medicine [Ann Med] 2023; Vol. 55 (2), pp. 2303398. Date of Electronic Publication: 2024 Jan 17.
DOI:	10.1080/07853890.2024.2303398
Abstrakt:	Background: This study aimed to determine the factors that promote and facilitate rehabilitation as well as challenges and possible barriers perceived by people with spinal cord injury (SCI). Materials and Methods: This study was part of a larger, mixed-method Finnish Spinal Cord Injury (FinSCI) study. We interviewed 45 persons with SCI representing participants from the FinSCI study and used a qualitative approach and a deductive-inductive content analysis to analyse the data. Results: We identified 28 facilitators and 19 barriers in the rehabilitation process. The majority of the facilitators and barriers were related to the rehabilitation planning phase. There were more barriers than facilitators in applying for and accessing treatment or rehabilitation and during the implementation of rehabilitation. Facilitators consisted of successful, realized, or planned treatments or rehabilitation events; clear goals; multidisciplinary teamwork; support and monitoring in various changing situations; and the rehabilitees' own capabilities and activities, among other things. The barriers included delays, challenges and deficiencies in the planning and implementation of treatment or rehabilitation; the lack of different skills; and resources of rehabilitation professionals; and different personal factors, which made the rehabilitation process cumbersome. Conclusions: Good communication and interaction between stakeholders are crucial for the progress of rehabilitation.
Databáze:	MEDLINE
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