医院住院人员修订功能自主测量系统的可靠性,可接受性和可行性:一项实施研究
Aruska N D'Souza1, Casey L Peiris1,2, Susan Darzins3
1The Royal Melbourne Hospital, Allied Health, The Royal Melbourne Hospital, Parkville, Australia.
Australian occupational therapy journal
|October 30, 2024
概括
修订后的功能自主测量系统 (SMAF-R) 显示,干预后医院的完成率有所改善,尽管未达到目标. 虽然治疗师认为SMAF-R是可以接受的,但它的相关性和时间承诺影响了使用,需要进一步的培训和研究.
科学领域:
- 医疗实施科学 医疗实施科学
- 康复医学是康复的医学.
- 职业治疗结果测量结果
背景情况:
- 修订后的功能自主测量系统 (SMAF-R) 评估了患者的活动表现和资源需求.
- 评估了其作为急性和亚急性住院患者的常规结果测量措施的可实施性.
研究的目的:
- 评估SMAF-R在常规住院护理中的可实施性.
- 测量SMAF-R完成率,治疗师接受度,以及检测患者变化的能力.
主要方法:
- 一项为期12个月的混合方法实施研究,涉及职业治疗师完成SMAF-R对13,348名住院患者.
- 实施了行为改变干预措施,并使用医疗保健干预措施的可执行性框架评估了忠实性,可接受性和可行性.
主要成果:
- SMAF-R的完成率没有达到80%的忠实度目标 (入院:32-66%,退院:12-48%).
- 三分之二的治疗师认为SMAF-R是可以接受的,但只有38%的人喜欢使用它;主题包括相关性,电子记录集成和时间承诺.
- 患者在住院期间在SMAF-R得分上表现出临床显著的改善 (中位数差异为16.5).
结论:
- 虽然SMAF-R被大多数治疗师认为是可以接受的,但对其相关性的不同看法和较低的完成率表明其适用于医院环境的潜在问题.
- 关于SMAF-R相关性和提示的额外培训可能会改善完成.
- 需要进一步的研究来验证SMAF-R在医院环境中的心理特征.
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