Direct referral and physical activity counselling upon discharge from spinal cord injury rehabilitation
Direct referral and physical activity counselling upon discharge from spinal cord injury rehabilitation
复制标题
脊髓损伤康复出院后的直接转诊和身体活动咨询
作者：
C. Pelletier;AE Latimer;DE Warburton;A. Hicks
研究设计：16周的随访研究。目的：评估从住院或门诊脊髓损伤（SCI）康复出院后，由卫生保健提供者推荐定期锻炼并结合16周咨询支持的疗效。设置：加拿大的两个康复中心。方法：17名参与者（年龄42.1±10.6岁，C3-T12，ASIA损伤评分A-C）（n=9;伤后5.2±1.3个月）或门诊（n=8;伤后14.2±3.8个月）康复，并推荐定期锻炼。电话咨询支持和遵守规定programs.Results的监测为16 weeks：有一个无显着差异的锻炼坚持率（参加可用会议的百分比）出院的参与者之间的住院（71.4±44.9%）和那些从门诊（39.5±27.2%）康复计划。最常见的参与障碍是身体健康问题（50%）和交通问题（36%）。运动信念问卷调查显示，参与者重视康复出院时的运动，尽管普遍报告对他们执行或适应有氧运动和阻力运动的能力缺乏信心。从住院或门诊SCI康复出院后直接转诊和持续咨询支持的系统似乎鼓励持续参与，尽管未来的健康促进策略应该继续提供关于如何适应和完成有氧运动和阻力运动的具体信息。里克汉森研究所和安大略神经创伤基金会。
Study design:Sixteen-week follow-up study.Objective:To evaluate the efficacy of referral from a health-care provider to regular exercise combined with 16 weeks of counselling support following discharge from inpatient or outpatient spinal cord injury (SCI) rehabilitation.Setting:Two rehabilitation centres in Canada.Methods:Seventeen participants (age 42.1±10.6 years, C3–T12, ASIA impairment score A–C) were recruited at discharge from inpatient (n=9; 5.2±1.3 months post-injury) or outpatient (n=8; 14.2±3.8 months post-injury) rehabilitation and were given a referral for regular exercise. Telephone counselling support was provided and adherence to the prescribed program was monitored for 16 weeks.Results:There was a nonsignificant difference in exercise adherence rates (percentage of available sessions attended) between participants discharged from inpatient (71.4±44.9%) and those from outpatient (39.5±27.2%) rehabilitation programs. The most common barriers to participation were physical health problems (50%) and transportation (36%). An exercise beliefs questionnaire revealed that participants value exercise at discharge from rehabilitation, despite the common report of a relative lack of confidence in their ability to perform or adapt aerobic and resistance exercises to their specific capabilities.Conclusion:A system of direct referral and ongoing counselling support following discharge from either inpatient or outpatient SCI rehabilitation appears to encourage sustained participation, although future health promotion strategies should continue to provide specific information about how to adapt and complete aerobic and resistance exercises.Sponsorship:Rick Hansen Institute and Ontario Neurotrauma Foundation.