Occupational Therapy for Poststroke Anxiety and Depressive Symptoms in Inpatient Rehabilitation.
| Autor: | Pisegna J; University of Colorado Anschutz Medical Campus, Aurora, USA.; GRECC VA Eastern Colorado Health Care System, Aurora, USA., Knebel R; The Ohio State University, Columbus, USA., Juckett L; The Ohio State University, Columbus, USA., Darragh A; The Ohio State University, Columbus, USA., Nichols-Larsen DS; The Ohio State University, Columbus, USA., Krok-Schoen JL; The Ohio State University, Columbus, USA. |
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| Jazyk: | angličtina |
| Zdroj: | OTJR : occupation, participation and health [OTJR (Thorofare N J)] 2024 Jan; Vol. 44 (1), pp. 78-87. Date of Electronic Publication: 2023 Feb 07. |
| DOI: | 10.1177/15394492231151886 |
| Abstrakt: | Poststroke anxiety and depressive symptoms (P-SADS) affect one in three people and are associated with decreased participation in activities of daily living. This study sought to characterize occupational therapy (OT) P-SADS care practices and identify factors influencing P-SADS care provision in one U.S. inpatient rehabilitation (IRF) facility. An explanatory sequential mixed-methods study design was used by gathering data from electronic health records (from January 1, 2019 to December 31, 2019) as well as semi-structured interviews with OT practitioners in the IRF. No objective P-SADS screens were documented nor were any P-SADS-focused goals written. Minimal evidence-based P-SADS interventions were identified. Practitioners reported multi-level barriers to OT P-SADS care including limited time, pressure to prioritize physical recovery, and inadequate resources to guide practice. OT practitioner P-SADS care was inconsistent with established evidence-based practice. This research identifies gaps in comprehensive stroke recovery and informs implementation efforts to support evidence-based P-SADS care in IRFs. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
| Databáze: | MEDLINE |
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