Rehabilitation needs of stroke survivors after discharge from hospital in India

Publication date: Available online 2 March 2016
Source:Archives of Physical Medicine and Rehabilitation
Author(s): K. Sureshkumar, G.V.S. Murthy, Audrey Prost, N. Subbulakshmy, Hira Pant, C. Naveen, Shifalika Goenka, Hannah Kuper
ObjectiveThe primary objective of this study was to assess the rehabilitation needs of stroke survivors in Chennai, India, after discharge from hospital.DesignMixed Methods research designSettingHome-based: Participantsa. Quantitative survey: Stroke survivors (N=50; mean age, 58.9 ±10.5yrs) and Primary caregivers of these stroke survivors (N=50; mean age, 43.1 ±11.8 yrs.)b. Qualitative in-depth interviews: A sub-sample of 12 stroke survivors, 10 primary caregivers and eight health care professionals.InterventionsNot applicableMain Outcome MeasureRehabilitation needs following hospital dischargeResultsAbout 82% of the needs expressed by stroke survivors and 92 % of the needs expressed by caregivers indicated that they had a substantial need for information. The proportion of financial needs reported by the stroke survivors and the caregivers was 70% and 75% respectively. The qualitative data revealed major gaps in access to stroke rehabilitation services. Service providers identified availability, affordability of services as key problems. Stroke survivors and their caregivers identified lack of information about stroke as major barriers to accessibility of stroke rehabilitation services. Caregivers expressed a tremendous need for support to manage family dynamics.ConclusionThe study highlights considerable unmet need for post-stroke rehabilitation services. Given the lack of rehabilitation resources in India, developing an accessible, innovative, patient-centred, culturally sensitive rehabilitation intervention is of public health importance. It is crucial for Low and Middle Income Countries like India to develop technology-driven stroke rehabilitation strategies to meet the growing rehabilitation needs of stroke survivors.



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