检查患者的结果在一个教师领导的诊所为无保险和服务不足的客户
Chia-Wei Fan1, Kathryn Drumheller2, Milly Rodriguez3
1Chia-Wei Fan, PhD, OTR/L, is Associate Professor, Department of Occupational Therapy, AdventHealth University, Orlando, FL; chia-wei.fan@ahu.edu.
概括
教师领导的诊所的职业治疗服务在一年内显著改善了客户的自我护理和流动性. 这证明了这些服务在改善服务不足的人群日常功能方面的有效性.
科学领域:
- 职业治疗是一种职业疗法.
- 健康研究成果研究结果
- 在健康方面存在差异.
背景情况:
- 常规的临床测量对于基于证据的干预措施和评估治疗效果至关重要.
- 职业治疗服务在提高患者的健康结果和功能能力方面发挥着至关重要的作用.
研究的目的:
- 评估职业治疗服务在改善健康结果方面的有效性.
- 使用连续性评估记录和评估工具 (CARET) 测量自我护理和流动性的变化.
主要方法:
- 采用了追溯和纵向研究设计,分析了一年来医疗记录中的数据.
- 收集了来自64位在免费,由教师领导的诊所注册的客户的数据.
- 用修改的CARET部分GG项目来评估自我护理和流动性,并补充了三个额外的功能项目. 使用SF-36v2.2.测量生活质量.
主要成果:
- 在整个一年的干预期间,在自我护理和流动性综合分数中观察到显著的改善.
- 另外一个功能综合评分在前六个月内显著改善.
- 客户报告的SF-36v2的身体功能得分与自我护理,移动性以及其他功能措施的改善有显著的相关性.
结论:
- 由教师领导的诊所有效地提高了职业绩效,特别是在自我照顾和流动性方面,解决了关键客户优先事项.
- 这项研究强调了以客户为中心的职业治疗在服务不足和没有保险的社区的积极影响.
- 客观的功能性措施提供了强有力的证据,证明在面临健康差异的人群中改善了健康结果.
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