Aims
Most clinical studies of inpatient rehabilitation focus on clinical outcomes and protocols, with limited attention to patient satisfaction levels and needs. This study aims to explore older patients' perspectives during and after inpatient rehabilitation over three months to determine whether our service aligns with their needs and expectations.
Methods
Through a qualitative descriptive design with semi-structured interviews, a purposive sample of patients over 65 were interviewed before and 12 weeks after discharge in Metro North's Surgical, Treatment, and Rehabilitation Service (STARS). The interview transcripts (including the discharge and follow-up interview transcripts) were analysed inductively, considering each participant as a case.
Results
Interviews were completed with 13 participants (mean age 73 years, 46% male). Four main themes emerged from this study: (i) The initial shock of the illness, (ii) feeling supported and improving, (iii) Being home is harder than expected and (iv) not living up to expectations. Participants had varied understandings and expectations of their progress during and following rehabilitation. They highly valued person-centered care and found motivation in observing their own progress and in peer support. However, they expressed the need for better access to information about rehabilitation, more coordinated services in the community, and addressing the psychological impact after an illness, which are all essential to equipping them for returning home.
Conclusion
This research highlights participants’ lack of prior rehabilitation experience and the challenges they face while navigating their journey, including the need for better transition support and improved coordination of community services.