探索家庭康复治疗师在急性住院后支持老年人进行体育炼的经验:一个定性采访研究
Christina Sandlund1,2,3, Linda Sandberg4,5, Sebastian Lindblom6,7
1Division of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden. christina.sandlund@ki.se.
European geriatric medicine
|April 6, 2024
概括
家庭康复治疗师努力为住院后的老年人提供个性化的体育炼支持. 然而,资源的局限性和分散的护理阻碍了持续的,以患者为中心的炼计划,影响了功能恢复.
科学领域:
- 老年学是一门学科.
- 康复科学 康复科学 康复科学
- 医疗保健管理的管理
背景情况:
- 老年人在住院后经常经历功能衰退和独立性丧失.
- 住院运动干预可以有所帮助,但出院后的持续支持对长期益处至关重要.
- 初级医疗保健在出院后继续炼计划中的作用对于可持续性至关重要.
研究的目的:
- 探索家庭康复治疗师在急性住院后支持老年人体育炼的经验.
- 了解在住院期间开始的炼计划是如何在家中继续的.
- 确定在提供过渡性身体活动护理方面面临的挑战和促进者.
主要方法:
- 与随机对照试验一起进行的定性研究.
- 在瑞典斯德哥尔摩,与理疗师,职业治疗师和经理进行了12次半结构化采访.
- 使用反射主题分析分析数据以确定关键主题和子主题.
主要成果:
- 确定的一个中心主题是"努力为体育炼提供个性化的支持".
- 副主题揭示了挑战,包括有限的资源,分散的家庭护理和不适合复杂需求的工作环境.
- 在家庭护理组织中缺乏协调和统一的目的是重要的障碍.
结论:
- 医院住院后有效的运动干预措施必须是个性化的,激励性的,并适应家庭环境.
- 错误调整的护理资源和供应商之间不良的协作阻碍了以患者为中心的支持.
- 结果为设计未来的过渡期护理干预提供了洞察力,以改善老年人的结果.
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