Patient experiences of physical activity and inactivity in the stroke unit: an interview study

Objective: Stroke unit care is highly recommended after stroke, but patients in these units are often physically inactive. The aim of this study was to explore patient experiences of physical activity and inactivity in the stroke unit. Design: Qualitative interview study. Subjects: Sixteen partici...

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Main Authors: Malin Reinholdsson, Gisela Herranen, Katharina S. Sunnerhagen, Annie Palstam
Format: Article
Language:English
Published: Medical Journals Sweden 2024-02-01
Series:Journal of Rehabilitation Medicine
Subjects:
Online Access:https://medicaljournalssweden.se/jrm/article/view/19502
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author Malin Reinholdsson
Gisela Herranen
Katharina S. Sunnerhagen
Annie Palstam
author_facet Malin Reinholdsson
Gisela Herranen
Katharina S. Sunnerhagen
Annie Palstam
author_sort Malin Reinholdsson
collection DOAJ
description Objective: Stroke unit care is highly recommended after stroke, but patients in these units are often physically inactive. The aim of this study was to explore patient experiences of physical activity and inactivity in the stroke unit. Design: Qualitative interview study. Subjects: Sixteen participants with stroke; a heterogeneous sample with differences in sex, age, and stroke severity from 8 Swedish stroke units. Methods: In-depth interviews 1–2 weeks after discharge analysed using thematic analysis. Results: The analysis resulted in three themes: 1: Dealing with the challenges of a changed body while striving to become independent; 2: The stroke unit is crucial for physical activity; and 3: Physical activity is important for interaction with others, autonomy, and feeling seen. Participants described how they coped with a new situation when finding new ways to move and function. In addition, they wanted to be involved in their own stroke rehabilitation. Conclusion: The participants expressed the following experiences of being in the stroke unit: movement is more important than physical activity and involves being seen and respected; physical activity and exercise are necessary to achieve independence; process involvement is of importance to regain abilities; physical activity offers the possibility of choosing between community and being alone and influences the ability to connect with others and the outside world.
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spelling doaj.art-decdf29e7b29424da0431383a34885562024-02-08T13:40:00ZengMedical Journals SwedenJournal of Rehabilitation Medicine1651-20812024-02-015610.2340/jrm.v56.19502Patient experiences of physical activity and inactivity in the stroke unit: an interview studyMalin Reinholdsson0Gisela Herranen1Katharina S. Sunnerhagen2Annie Palstam3Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden; Department of Occupational Therapy and Physiotherapy, Sahlgrenska University Hospital, Gothenburg, SwedenDepartment of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy at the University of Gothenburg, Gothenburg, SwedenDepartment of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden; Neurocare, Sahlgrenska University Hospital, Gothenburg, SwedenDepartment of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden; Neurocare, Sahlgrenska University Hospital, Gothenburg, Sweden; School of Health and Welfare, Dalarna University, Falun, SwedenObjective: Stroke unit care is highly recommended after stroke, but patients in these units are often physically inactive. The aim of this study was to explore patient experiences of physical activity and inactivity in the stroke unit. Design: Qualitative interview study. Subjects: Sixteen participants with stroke; a heterogeneous sample with differences in sex, age, and stroke severity from 8 Swedish stroke units. Methods: In-depth interviews 1–2 weeks after discharge analysed using thematic analysis. Results: The analysis resulted in three themes: 1: Dealing with the challenges of a changed body while striving to become independent; 2: The stroke unit is crucial for physical activity; and 3: Physical activity is important for interaction with others, autonomy, and feeling seen. Participants described how they coped with a new situation when finding new ways to move and function. In addition, they wanted to be involved in their own stroke rehabilitation. Conclusion: The participants expressed the following experiences of being in the stroke unit: movement is more important than physical activity and involves being seen and respected; physical activity and exercise are necessary to achieve independence; process involvement is of importance to regain abilities; physical activity offers the possibility of choosing between community and being alone and influences the ability to connect with others and the outside world. https://medicaljournalssweden.se/jrm/article/view/19502Exerciseinterviewphysical activitysedentary behaviourstrokethematic analysis
spellingShingle Malin Reinholdsson
Gisela Herranen
Katharina S. Sunnerhagen
Annie Palstam
Patient experiences of physical activity and inactivity in the stroke unit: an interview study
Journal of Rehabilitation Medicine
Exercise
interview
physical activity
sedentary behaviour
stroke
thematic analysis
title Patient experiences of physical activity and inactivity in the stroke unit: an interview study
title_full Patient experiences of physical activity and inactivity in the stroke unit: an interview study
title_fullStr Patient experiences of physical activity and inactivity in the stroke unit: an interview study
title_full_unstemmed Patient experiences of physical activity and inactivity in the stroke unit: an interview study
title_short Patient experiences of physical activity and inactivity in the stroke unit: an interview study
title_sort patient experiences of physical activity and inactivity in the stroke unit an interview study
topic Exercise
interview
physical activity
sedentary behaviour
stroke
thematic analysis
url https://medicaljournalssweden.se/jrm/article/view/19502
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AT anniepalstam patientexperiencesofphysicalactivityandinactivityinthestrokeunitaninterviewstudy