Critical Appraisal of Stroke Rehabilitation: Patient and Caregiver Perception

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Title page
Student Name:
HLSC122 Semester 1, 2018
Assessment 3: Critical appraisal of evidence
Word count:
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Introduction: approximately 120 words (10%)
Rehabilitation of the patients after the stroke is very crucial and overall affects the
wellbeing of the patient throughout the life. In has been found that most of the patients
have their needs unaddressed. It is the amount and the type of the rehabilitation that
has been found to be important for the recovery of these stroke patients (Cameron et
al., 2013). There were studies that have shown that the informal caregivers play an
important role in the rehabilitation of the patients and that they should be more involved
in the rehabilitation process. And hence their perception regarding the rehabilitation
process is important. Thus perception is also important because in many cases the
informal care givers are elderly and hence suffer from both physical as well as
psychological burden(Cameron et al., 2013). Hence any future interventions should be
set as per the psychosocial needs of both the patients and the care givers. This paper
appraises a paper regarding the patient and the caregiver’s perception regarding stroke
rehabilitation.
Full reference using APA format
Ekstam, L., Johansson, U., Guidetti, S., Eriksson, G., & Ytterberg, C. (2015). The combi
ned perceptions of people with stroke and their carers regarding rehabilitation ne
eds 1 year after stroke: A mixed methods study. British Medical Journal, 5(2), 1‐
7. Retrieved from: http://bmjopen.bmj.com/content/5/2/e006784
PART A
Authorship
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Lisa Ekstam, having affiliations from the division of Occupational Therapy, Department
of Neurobiology Care Sciences and Society, Karolinska Institute, Huddinge, Sweden
and Department of Occupational Therapy, Karolinska University Hospital, Stockholm,
Sweden
Ulla Johansson, affiliated byDivision of Occupational Therapy, Department of
Neurobiology Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden and
Department of Clinical Research, Uppsala University/County Council of Gävle, Gävle,
Sweden.
Susanne Guidetti, affiliated by the Division of Occupational Therapy, Department
of Neurobiology Care Sciences and Society, Karolinska Institute, Huddinge, Sweden.
Charlotte Ytterberg, affiliated byDivision of Occupational Therapy, Department of
Neurobiology Care Sciences and Society, Karolinska Institute, Huddinge, Sweden,
Department of Clinical Neuroscience, Division of Neurology, Karolinska University
Hospital, Huddinge, Sweden and Division of Physiotherapy, Department of
Neurobiology Care Sciences and Society, Karolinska Institute, Huddinge, Sweden.
Research question
How may a caregiver effectively support a (67 year old female) family member wi
th her activities of daily living following a stroke?
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The aim of this study is to understand the association between the dyad’s
(person having stroke and informal caregiver) viewpoint of the individual with the
requirements for the rehabilitation of stroke and the severity of the stroke.
Research design
The study has used a mixed method combining both the qualitative and the
quantitative data analysis. This study has been conducted on the basis on the
secondary analysis of a data of an observational study of the progression of
rehabilitation after the stroke. Both qualitative and quantitative analysis have
disadvantages (Greenhalgh et al.,2016). Combination of the methodologies helps in the
reduction of the biases. Furthermore it combines both the inductive and the deductive
thinking, where the researcher can communicate both with words as well as number to
deal with audiences (Greenhalgh et al.,2016).
Data collection method and Sampling
86 persons with stroke (38 % women with mean age 73 years) and their
caregivers (40 % women with mean age 65 years were taken for the interview.
The sample size has been described in much details but the sample size was low,
which reduced the precision and the interpretation of the results (Greenhalgh et
al.,2016).
The candidates for the observational study were taken from the three stroke units
of the Karolinska University Hospital between 15 May 2006 and 14 May 2007 and 349
candidates were included in the study “life after stroke phase I”.
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