错过住院患者中风康复治疗的频率和原因
Elizabeth Byrd1, Sarah Khalidi1, Andres Azuero1
1School of Nursing, The University of Alabama at Birmingham, Birmingham, AL, USA.
概括
在住院中风康复期间,错过的治疗课程很常见,会影响康复. 解决患者和系统障碍是提高康复效率和患者参与度的关键.
科学领域:
- 神经学 神经学
- 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
背景情况:
- 脑卒中是导致成人残疾的主要原因,因此住院康复对于康复至关重要.
- 在中风康复期间错过的治疗会话可能会阻碍功能进展,但研究是有限的.
研究的目的:
- 调查在住院中风康复治疗中错过治疗会话的频率,原因和潜在后果.
- 探索有助于错过康复课程的因素.
主要方法:
- 从中风康复单位的电子病历的回顾性分析.
- 纳入标准:中风诊断与半/半.
- 收集的数据:人口统计,功能评分,错过的治疗课程;使用描述性统计和相关性进行分析.
主要成果:
- 在881个康复日中,有184次治疗 (占总数的5%) 被错过.
- 物理治疗 (36.4%),职业治疗 (34.2%) 和语言语言病理学 (29.4%) 是最常错过的.
- 常见的原因包括患者拒绝,疲劳和需要上所. 没有发现错过的会话和功能结果之间有显著的相关性.
结论:
- 在中风康复中,错过的疗程很普遍,这给临床和管理带来了挑战.
- 需要以患者为中心的干预措施和系统调整,以减少错过的疗程并促进恢复.
- 进一步的研究应该检查错过治疗会话的财务和功能影响.
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