康复自我管理计划 ("我的疗法") 的可持续性 实施后6个月
Sara L Whittaker1, Keith D Hill1, Nicholas F Taylor2,3
1Rehabilitation, Ageing and Independent Living (RAIL) Research Centre, School of Primary and Allied Health Care, Monash University, Melbourne, Victoria, Australia.
自主管理计划"我的疗法"显示在住院康复中持续使用,试验后六个月. 然而,需要持续的支持,以克服患者的动机和持续实施的时间限制等挑战.
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
背景情况:
- 自主管理计划对于提高患者在康复中的参与度至关重要.
- "我的治疗"计划旨在使住院患者能够独立执行练习和任务.
- 以前的研究表明,使用"我的疗法"的患者每天额外花费26分钟进行炼和任务.
研究的目的:
- 在随机对照试验六个月后,评估"我的疗法"在住院康复中的自我管理计划的可持续性.
- 评估该计划在患者中的影响力,了解职业治疗师和物理治疗师对该计划长期可行性的看法.
主要方法:
- 对病人的医疗记录进行了患者审计,以确定该计划的覆盖范围.
- 对职业治疗师和物理治疗师进行电子调查,以收集有关计划可持续性的见解.
- 一位生活体验消费者参与了试验指导委员会.
主要成果:
- "我的治疗"计划在试验后六个月达到41%的185名受审计的患者.
- 大多数接受调查的治疗师 (93%) 认为自己有能力提供自我管理计划.
- 77%的治疗师报告说,有时作为常规护理的一部分提供"我的治疗",临床冠军支持持续实施.
- 治疗师指出,在向没有动力或时间有限的患者提供该计划时存在挑战.
结论:
- "我的疗法"自我管理计划表明,试验结束六个月后,治疗师在住院康复中继续提供治疗,尽管只是部分治疗.
- 持续实施需要持续的支持策略来解决障碍,如患者的动机和治疗师的时间限制.
- 这些发现强调了需要适应性策略,以确保自我管理计划在康复环境中的长期有效性.
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