Regaining independence: a grounded theory study of the process of rehabilitation changes in patients with hemiplegic stroke

Abstract

Background: Research focusing on the rehabilitation experiences of stroke patients in China remains limited. Understanding their recovery journey is essential for improving care strategies and enhancing patients’ well-being. This study aimed to explore the psychosocial mechanisms and processes underlying the rehabilitation of hemiplegic stroke patients. Methods: This study employed a constructivist grounded theory approach to understand the rehabilitation experiences of 13 hemiplegic stroke patients, recruited via theoretical sampling for in-depth interviews. Data were analyzed concurrently using the constant comparison method until theoretical saturation was reached, culminating in the construction of a theoretical model explaining their process of change. Results: During the transition from illness to rehabilitation, hemiplegic stroke patients struggled with the lack of independence. With the support of a multidimensional system, these patients can partially regain independence. Conclusion: This study revealed that the development of a holistic supportive services model can help patients receive timely and effective positive support. In future rehabilitation services, the multidimensional service model needs to be considered, and various facilitating factors should be improved to provide comprehensive and systematic rehabilitation services to patients.