PTOTSLPCohortJournal of rehabilitation medicine2025

Ukrainian war trauma patients abroad: the rehabilitation process in light of language barriers, cultural differences, war, and infection isolation.

Maria Ryssdal Kraby, Mariia Toropchyna, Anders Holtan and 1 others

PMID 40787722

WHAT IT FOUND

Ukrainian war trauma patients rated this rehabilitation 30 out of 32 for satisfaction.

Professional interpreters worked best, but multilingual staff who acted as cultural mediators were highly valued. Patients reported isolation hurt their mood, though staff worried it also hindered recovery.

Key findings

01Patients reported a median satisfaction score of 30 out of 32 on the Client Satisfaction Questionnaire 8.

02Professional medical interpreters were rated as working best for patients, closely followed by multilingual hospital staff who also served as cultural mediators.

03While patients reported that infection isolation negatively influenced their mood, they did not report it negatively influencing the rehabilitation process itself.

STILL TO COME

How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for SLPs

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What it does not show

The sample size was very small (14 patients and 15 health professionals) from a single department in one hospital, limiting generalizability. Only descriptive statistics were used; no inferential analysis was possible. Selection bias is likely, as satisfied patients are more likely to participate, and those with severe cognitive impairment were excluded. Recall bias may affect patient reports, especially for those interviewed months after discharge. The lead researcher was a physician at the hospital and involved in patient care, which introduces potential bias in data collection and analysis. There was a discrepancy between patient reports (isolation hurt mood but not rehab) and staff perceptions (isolation hindered rehab), with no objective measure to resolve this.

Declared interests

The authors declared no conflicts of interest. The study was financed by the University of Oslo, Norway.

The easy way to misread this

Do not assume that patient-reported high satisfaction and good mood reflect low psychosocial distress. Health professionals perceived significant strain from war trauma and isolation, while patients underreported negative impacts on rehabilitation, suggesting a potential gap in understanding patient experiences.

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