Browsing by Author "Urimubenshi, Gerard"
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Item Process of physiotherapy services of stroke patients treated at Ruhengeri Hospital in Rwanda: A four-year document review(University of the Western Cape, 2010) Urimubenshi, Gerard; Rhoda, AntheaBACKGROUND: Physiotherapy plays a major role in the rehabilitation of patients with stroke. The process of physiotherapy management could influence the patient outcomes. AIM: This study aimed to describe the process of physiotherapy for patients with stroke treated at Ruhengeri Hospital in Rwanda, as documented in patients' folders. METHOD: A quantitative retrospective design was used to review the medical records of stroke patients admitted to Ruhengeri Hospital from January 1st, 2005 up to December 31st, 2008. RESULTS: Two hundred and four patients with stroke were treated at Ruhengeri Hospital within the 4-year period, but only 139 patients (68%) were included in the analysis of the findings. The mean age of the study population was 56.3 years, and 53.2% were females compared to 46.8% males. Out of the 139 patients, only 55 (39.6%) received physiotherapy, and the majority (76.3%) started to receive physiotherapy within one week of their admission. The mean number of physiotherapy sessions for the patients was found to be four. CONCLUSION: Less than half of the patients with stroke admitted to Ruhengeri Hospital in Rwanda received physiotherapy. Of those who received physiotherapy the frequency is low. There is therefore a need for physiotherapists working at this hospital to review their management of patients with stroke in an attempt to provide an increased frequency of treatment to more patients.Item Profile of and challenges experienced by stroke patients admitted to Ruhengeri Hospital in Rwanda(University of the Western Cape, 2009) Urimubenshi, Gerard; Rhoda, Anthea; Dept. of Physiotherapy; Faculty of Community and Health SciencesStroke is the world's third highest cause of death and a major cause of disability. In order to define optimal management for stroke, reliable data are needed. Although Ruhengeri Hospital in Rwanda receives many stroke patients, no in-depth study has been carried out on stroke patients admitted at the hospital. This study, therefore, identified the profile of stroke patients admitted at Ruhengeri Hospital in Rwanda and explored the challenges that they experienced. A concurrent mixed model design was used to collect data. With a data gathering instrument which was developed by the researcher, a quantitative retrospective approach was used to review existing patients’ records to collect information related to demographic characteristics, documented clinical features and risk factors for stroke, stroke onset-admission interval, length of hospital stay and the process of hysiotherapy for stroke patients. In-depth face-toface interviews were also used to collect data regarding the challenges experienced by stroke patients. The sample for the quantitative phase consisted of medical records of stroke patients admitted at Ruhengeri Hospital from January 1st, 2005 up to December 31st, 2008. In the qualitative phase, a purposive sample of 10 participants was selected.Item Provision of inpatient rehabilitation and challenges experienced with participation post discharge: quantitative and qualitative inquiry of African stroke patients(BioMed Central, 2015) Rhoda, Anthea; Cunningham, Natalie; Azaria, Simon; Urimubenshi, GerardBACKGROUND: The provision of rehabilitation differs between developed and developing countries, this could impact on the outcomes of post stroke rehabilitation. The aim of this paper is to present provision of in-patient stroke rehabilitation. In addition the challenges experienced by the individuals with participation post discharge are also presented. METHODS: Qualitative and quantitative research methods were used to collect data. The quantitative data was collected using a retrospective survey of stroke patients admitted to hospitals over a three- to five-year period. Quantitative data was captured on a validated data capture sheet and analysed descriptively. The qualitative data was collected using interviews from a purposively and conveniently selected sample, audio-taped and analysed thematically. The qualitative data was presented within the participation model. RESULTS: A total of 168 medical folders were reviewed for a South African sample, 139 for a Rwandan sample and 145 for a Tanzanian sample. The mean age ranged from 62.6 (13.78) years in the South African sample to 56.0 (17.4) in the Rwandan sample. While a total of 98 % of South African stroke patients received physiotherapy, only 39.4 % of Rwandan patients received physiotherapy. From the qualitative interviews, it became clear that the stroke patients had participation restrictions. When conceptualised within the Participation Model participation restrictions experienced by the stroke patients were a lack of accomplishment, inability to engage in previous roles and a perception of having health problems. DISCUSSION: With the exception of Rwanda, stroke patients in the countries studied are admitted to settings early post stroke allowing for implementation of effective acute interventions. The participants were experiencing challenges which included a lack of transport and the physical geographic surroundings in the rural settings not being conducive to wheelchair use. CONCLUSION: Stroke patients admitted to hospitals in certain African countries could receive limited in-patient therapeutic interventions. With the exception of barriers in the physical environment, stroke patients in developing countries where resources are limited experience the same participation restrictions as their counterparts in developed countries where resources are more freely available. Rehabilitation interventions in these developing countries should therefore be community-based focussing on intervening in the physical environment.