在住院康复机构实施自我指导治疗活动的障碍和促进者
Natasha K Brusco1, Brianna Walpole2, Helen Kugler3
1Rehabilitation, Ageing and Independent Living (RAIL) Research Centre, School of Primary and Allied Health Care, Monash University, Frankston, Victoria, Australia.
Australian occupational therapy journal
|June 9, 2023
概括
自主导导的治疗方案可以通过利用患者休息时间来增强住院患者的康复. 实施需要解决空间和时间的限制,但患者和临床医生都支持其日常整合.
科学领域:
- 康复医学 康复医学 康复医学
- 医疗保健服务研究 医疗服务研究
- 行为科学 行为科学
背景情况:
- 在住院康复中,自我指导的治疗不是标准的.
- 了解患者和临床医生的观点对于实施至关重要.
- 这项研究探讨了成年住院患者康复中自我指导治疗计划的障碍和促进因素.
研究的目的:
- 调查实施"我的治疗"自我指导计划的障碍和促进因素.
- 了解患者和临床医生在住院康复期间对自我指导治疗的观点.
主要方法:
- 使用了针对患者和临床医生 (理疗师,职业治疗师) 的在线问卷.
- 员工对自由文本回复的内容分析.
- 使用行为能力,机会和动机模型 (COM-B模型) 编码的数据.
主要成果:
- 随着教育,患者的能力得到了改善;小册子格式得到了不同的评价. 临床医生的能力从工作人员的合作中受益.
- 机会受到病房空间的限制;临床医生机会得到组织支持,但受到工作负担的阻碍.
- 通过赋权,患者的动机增加;临床医生的动机与感知到的程序价值联系在一起.
结论:
- 患者和临床医生都支持将自我指导治疗纳入常规实践.
- 关键的要求包括患者的时间,足够的病房空间和强大的员工合作.
- 需要进一步的研究来扩大"我的治疗"计划的规模并评估其有效性.
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