How do patients spend their time in stroke rehabilitation units in England? The REVIHR study
| Autor: | Marion F Walker, Niki Chouliara, Brian Crosbie, Boliang Guo, Nikola Sprigg, Rebecca J Fisher |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
030506 rehabilitation
medicine.medical_specialty Evidence-based practice Activities of daily living Rehabilitation business.industry medicine.medical_treatment Stroke Rehabilitation medicine.disease Physical Therapists Stroke 03 medical and health sciences 0302 clinical medicine England Activities of Daily Living Physical therapy Humans Medicine cardiovascular diseases 0305 other medical science business 030217 neurology & neurosurgery |
| ISSN: | 0963-8288 1464-5165 |
| Popis: | To examine how patients spend their time in stroke rehabilitation units in England.We recruited 144 patients within a month after stroke from four stroke rehabilitation units and observed their activity type, interactions and location. Each participant was observed for 1 min every 10-minutes, for a total of 20 h, over three consecutive days. Multilevel modelling was performed to assess differences across sites.Across the four sites a total of 12,248 observations were performed. Patients spent on average 37% of the observed time inactive and 60% alone. A health care professional was present for 18% of the observations and patients' most frequent contact was with family members (19%). Patients were mainly physically active in the presence of therapists, but they practiced self-care activities of daily living most frequently in the presence of nursing staff. There were limited opportunities for activity away from the bedside. Significant differences were found between the units, including patients' level of contact with rehabilitation assistants and nursing staff, but not in their time with occupational therapists and physiotherapists.Stroke patients in England spend a large proportion of their day inactive and alone. Opportunities to promote a rehabilitation focused environment may include: a) enhancing the role of rehabilitation assistants, b) supporting nursing staff in maximising opportunities for the practice of activities of daily living and c) involving family members in the rehabilitation process.IMPLICATIONS FOR REHABILITATIONClinicians need to consider stroke patients' activity levels and rehabilitation experience outside formal therapy.The role of rehabilitation assistants and nursing staff can be key in promoting patient activity and practice of self-care ADL tasks.Pragmatic strategies to encourage family involvement in the rehabilitation process need to be developed. |
| Databáze: | OpenAIRE |
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