Introduction: Stroke causes a range of motor and cognitive consequences, including
aphasia. This disorder of language comprehension and expression severely limits individuals
in their daily communication, reduces their social inclusion, and negatively impacts their
quality of life. Although the management of aphasia is traditionally within the domain of
speech and language therapy, the inclusion of occupational therapy is essential for a holistic
recovery of functioning. By utilizing meaningful daily activities, occupational therapy
promotes independence, strengthens the individual's occupational identity, and enables
active integration into society despite communication barriers. Purpose: The purpose of this
thesis is to explore the characteristics of occupational therapy intervention for individuals
with post-stroke aphasia, with an emphasis on the role of the therapist, the intervention
process, communication strategies, teamwork, and the involvement of relatives. The
research focuses on the occupational therapists' perspective regarding the characteristics of
such interventions. Methods: A qualitative approach with purposive sampling was used in
the study. Data were collected through semi-structured interviews, followed by qualitative
content analysis. Results: Six key categories were identified: the characteristics and
incidence of post-stroke aphasia, the process and circumstances of occupational therapy
intervention, the professional development and experiences of the therapist, communication
strategies in aphasia management, the multidisciplinary approach, and the involvement of
relatives in the intervention process. Discussion and conclusion: We conclude that
occupational therapy intervention for individuals with post-stroke aphasia is a complex,
client-centered process that, due to communication deficits, requires significant adaptations
at all stages—from the initial introduction and assessment to the evaluation of outcomes.
The success of the intervention relies on the therapeutic use of self and adapted interaction
using alternative methods of communication. The involvement of the entire interdisciplinary
team and the active cooperation of relatives, who can act as an important supportive factor
for the transition to the home environment, are crucial. For occupational therapists, this
intervention represents both a professional and emotional challenge, where specific
neurological knowledge, experience, and systemic and team support contribute significantly
to their confidence.
|
