Perceptions of stroke patients attending King Faisal Hospital-Rwanda regarding the effectiveness of the rehabilitation services

Abstract

INTRODUCTION: Stroke rehabilitation involves a multidisciplinary approach to restore functional abilities and improve quality of life. This study aimed to explore stroke patients' perceptions of the effectiveness of rehabilitation interventions provided at King Faisal Hospital, Rwanda. 

METHODS: A qualitative study using in-depth face-to-face interviews was conducted with ten stroke survivors aged 30 to 80 years. Participants shared their experiences of physiotherapy, occupational therapy, and speech and language therapy interventions. The data was analyzed using a qualitative inductive thematic approach with Atlas ti software. 

RESULTS: Participants reported significant improvements in physical function and mobility due to physiotherapy services, including increased balance, enhanced muscle strength, and the ability to perform activities such as walking on uneven surfaces and climbing stairs. However, two participants noted limited progress in their affected limbs. Occupational Therapy was reported to lead to improvements in functional performance, self-care activities, and job-related skills. Participants regained abilities such as transferring independently, holding objects, bathing, and dressing. Occupational therapy also enabled some participants to return to work. A minority expressed the need for increased therapy frequency for better outcomes. Speech and Language Therapy improved participants’ communication and interaction skills. Some regained their ability to talk, express themselves, and engage in conversations, although challenges with pronunciation and fluency persisted for a few. 

CONCLUSION: Rehabilitation interventions at King Faisal Hospital- Rwanda, are perceived as effective in enhancing physical function, independence in daily activities, and communication skills among stroke survivors. The findings underscore the importance of a multidisciplinary approach and suggest potential benefits of increasing therapy frequency for improved outcomes.