患者参与康复过程与功能改善和目标实现有关:一项探索性纵向研究的结果
Joachim Støren Sagen1,2, Ingvild Kjeken2, Andreas Habberstad3
1Faculty of Health Sciences, Oslo Metropolitan University, St. Olavs plass 4, 0130 Oslo, Norway.
Journal of clinical medicine
|January 23, 2024
概括
患者参与康复,特别是目标设定和规划,显著提高功能结果和目标实现. 积极参与会带来更大的功能改善和更高的机会实现康复目标.
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
- 以患者为中心的护理
背景情况:
- 患者的参与对于有效的康复至关重要.
- 了解患者参与对功能恢复和目标实现的影响至关重要.
研究的目的:
- 调查患者参与康复和功能改善之间的关联.
- 检查患者参与与在康复后第一年实现目标之间的关系.
主要方法:
- 纵向多中心研究 (RehabNytte) 涉及2113名参与者.
- 质量指标 (QI) 评估了患者参与;患者特异性功能表 (PSFS) 测量了功能.
- 逻辑回归和t测试分析了12个月的关联和功能变化.
主要成果:
- 95%的参与者参与了目标设定,与年轻的年龄和女性性别有关.
- 在随访期间,功能显著改善,积极设定目标组的收益更大.
- 参与目标规划 (OR 2.78) 和康复计划 (OR 1.99) 显著增加了实现目标的几率.
结论:
- 在康复中,患者参与目标设定和规划的高度参与是常见的.
- 积极的患者参与与改善功能和更大的目标实现有关.
- 促进患者参与康复计划是优化结果的关键.
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