Differences in the difficulty of subtasks comprising the toileting task among patients with subacute stroke: A cohort study
Differences in the difficulty of subtasks comprising the toileting task among patients with subacute stroke: A cohort study
复制标题
亚急性中风患者的如厕任务等子任务难度差异：一项队列研究
DOI：
10.1016/j.jstrokecerebrovasdis.2023.107030
复制
发表时间：
2023
影响因子：
2.5
通讯作者：
Sakata Sachiko
中科院分区：
文献类型：
--
作者：
Kitamura Shin;Otaka Yohei;Murayama Yudai;Ushizawa Kazuki;Narita Yuya;Nakatsukasa Naho;Matsuura Daisuke;Kondo Kunitsugu;Sakata Sachiko
介绍性干预包括多个子任务，每个子任务的难度对于确定干预的目标和优先级至关重要。本研究旨在探讨困难的子任务，包括入院后的重新获得的技能的子任务在hospitalization.Materials和MethodsThis是一个单中心的前瞻性队列研究。我们纳入了101例连续的中风患者（平均年龄：69.3岁）入住亚急性康复病房。每两周或四周使用任务评估表（TTAF）评估24个任务子任务中每个任务的独立性。在每个子任务中检查了入院时独立的患者数量，以及入院时不独立但在住院期间独立的患者数量。ResultsThe最困难的子任务是“锁定轮椅制动器”。（16.8%的患者是独立的），其次是“站立时转身（排尿/排便前）”（17.8%），“把下衣拉下来”（18.0%），“站立时转身（排尿/排便后）”（18.8%）、“把下衣拉起来调整”（18.8%）及“保持站立姿势（大小便前）”（18.8%）。对于那些没有独立但变得独立的人来说，最困难的子任务是“处理失禁垫/卫生用品”（19.3%），其次是“按护士呼叫按钮（排尿/排便后）”（28.3%），“将脚从搁脚板上移开，放在地上”（28.6%）和“大小便后清理”（29.0%）。结论入院时的困难子任务和重新获得技能的困难子任务不同。入院时最难的子任务是主要任务，技能再获得中最难的子任务是准备任务。
IntroductionToileting comprises multiple subtasks, and the difficulty of each is critical to determining the target and priority of intervention. The study aimed to examine the difficulty of subtasks that comprise toileting upon admission and the reacquisition of skills of subtasks during hospitalization.Materials and methodsThis was a single-center prospective cohort study. We enrolled 101 consecutive stroke patients (mean age: 69.3 years) admitted to subacute rehabilitation wards. The independence in each of the 24 toileting subtasks was assessed using the Toileting Tasks Assessment Form (TTAF) every two or four weeks. The number of patients who were independent upon admission, as well as those who were not independent upon admission but became independent during hospitalization, was examined in each subtask.ResultsThe most difficult subtask upon admission was “Lock the wheelchair brakes” (16.8% of patients were independent), followed by “Turn while standing (before urination/defecation)” (17.8%), “Pull the lower garments down” (18.0%), “Turn while standing (after urination/defecation)” (18.8%), “Pull the lower garments up and adjust them” (18.8%), and “Maintain a standing position (before urination/defecation)” (18.8%). The most difficult subtask for those who were not independent but became independent was “Dispose of incontinence pad/sanitary items” (19.3%), followed by “Press the nurse call button (after urination/defecation)” (28.3%), “Take the foot off the footrest and place it on the ground” (28.6%), and “Clean up after urination/defecation” (29.0%).ConclusionsThe difficult subtasks upon admission and those for reacquired skills were different. The most difficult subtasks upon admission were main tasks, and the difficult subtasks in reacquiring skills were preparatory tasks.