Therapeutic itinerary of stroke survivors in a Nigerian tertiary hospital

Chidozie Emmanuel Mbada; Oluwayemisi Mary  Ogunleye; Abiola Oladele  Ogundele; Olufemi Oyeleye  Oyewole; Adekola Babatunde  Ademoyegun; Adebimpe Olayinka Obembe; Francis Fatoye

doi:10.15253/2175-6783.20212260840

Autores

Chidozie Emmanuel Mbada Obafemi Awolowo University. Ile-Ife, Nigeria https://orcid.org/0000-0003-3666-7432
Oluwayemisi Mary Ogunleye Obafemi Awolowo University. Ile-Ife, Nigeria https://orcid.org/0000-0001-8242-543X
Abiola Oladele Ogundele Bowen University. Iwo, Nigeria https://orcid.org/0000-0002-6797-9124
Olufemi Oyeleye Oyewole Olabisi Onabanjo University Teaching Hospital. Shagamu, Nigeria https://orcid.org/0000-0003-2432-247X
Adekola Babatunde Ademoyegun Ladoke Akintola University of Technology Teaching Hospital. Osogbo, Nigeria https://orcid.org/0000-0002-7711-7835
Adebimpe Olayinka Obembe College of Saint Mary. Omaha, USA https://orcid.org/0000-0003-1282-304X
Francis Fatoye Manchester Metropolitan University, Faculty of Health, Psychology and Social Care. Manchester, UK https://orcid.org/0000-0002-3502-3953

DOI:

https://doi.org/10.15253/2175-6783.20212260840

Palavras-chave:

Terapias Complementares; Reabilitação; Acidente Vascular Cerebral; Fisioterapia.

Resumo

Objetivo: analisar o itinerário terapêutico de sobreviventes de acidente vascular cerebral, desde sua ocorrência até a reabilitação. Métodos: itinerário terapêutico percorrido por 12 sobreviventes de acidente vascular cerebral para resolver seus problemas de saúde foi explorado usando entrevistas em profundidade e análise temática. Resultados: as rotas dos sobreviventes foram influenciadas pelo tipo e estado do paciente no início do acidente vascular cerebral. A falta de capacidade contribuiu para indecisão entre buscar atendimento em hospitais privados ou públicos. A entrada na fisioterapia dependeu da demanda espontânea e de encaminhamentos realizados por médicos que atuam como sentinelas dos pacientes. O acidente vascular cerebral afetou significativamente a vida social dos sobreviventes. A extensão do comprometimento do acidente vascular cerebral e expectativas não atendidas promovem o pluralismo médico entre os sobreviventes. Conclusão: sobreviventes de acidente vascular cerebral estão envolvidos em itinerários terapêuticos complexos e extensos, caracterizados pela prática de busca de múltiplos cuidados.

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