患者参与住院康复:对措施和不断变化的概念进行范围审查
Mayra L Sánchez González1, Kristian Nitsch2, Nicolette Carnahan1
1Department of Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine.
Rehabilitation psychology
|July 3, 2025
概括
患者参与康复缺乏标准化措施和定义. 这次审查确定了10项措施,强调需要达成共识,以改善住院康复机构的研究和临床实践.
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
- 患者参与研究 患者参与研究
背景情况:
- 患者的参与对于成功的康复结果至关重要.
- 目前对急性住院患者参与的理解和测量还不清楚.
- 为了推进研究和临床实践,需要标准化.
研究的目的:
- 系统地审查和描述在急性住院康复中使用的患者参与措施.
- 识别不同的测量方法和患者参与的概念化.
- 突出有关患者参与康复的文献上的差距.
主要方法:
- 根据PRISMA-ScR和Joanna Briggs的指导方针进行了全面的范围审查.
- 从开始到2024年5月,搜索在七个主要数据库中进行.
- 纳入标准侧重于在急性住院康复中测量参与度的成年参与者,其中37项研究符合标准.
主要成果:
- 在37项研究中确定了10种不同的患者参与措施.
- 匹兹堡康复参与度表是最常见的衡量标准,其次是治疗剂量和霍普金斯康复参与度表.
- 大多数研究都采用了观察者评估方法,对参与的概念有所不同,动机是一个共同的主题.
结论:
- 关于患者参与康复的测量和概念化,存在显著的共识缺失.
- 这种不一致性阻碍了旨在改善患者结果的研究和临床应用的进展.
- 未来的研究应该集中在现有措施的临床实用性和开发以患者为中心的测量标准上.
更多相关视频
06:16Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting
Published on: June 6, 2020
3.9K
08:36The Immersive Cleveland Clinic Virtual Reality Shopping Platform for the Assessment of Instrumental Activities of Daily Living
Published on: July 28, 2022
3.9K
相关概念视频
Restorative Care
2.1K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
2.1K
Patient-centered Care
2.3K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.3K
Specialized Care Centers and Settings-II
779
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
779
Guidelines for Writing Outcome
3.0K
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
3.0K
Documentation in Long-Term and Home Healthcare Setting
992
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
992
Nursing Evaluation
3.6K
The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
3.6K
