Patient-centered mobility outcome preferences according to individuals with stroke and caregivers: a qualitative analysis
Patient-centered mobility outcome preferences according to individuals with stroke and caregivers: a qualitative analysis
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DOI：
10.1080/09638288.2017.1297855
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发表时间：
2018-01-01
影响因子：
2.2
通讯作者：
Reistetter, Timothy A.
中科院分区：
文献类型：
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作者：
Krishnan, Shilpa;Pappadis, Monique R.;Reistetter, Timothy A.
目的：探讨中风幸存者和照顾者在住院或熟练nursingfacility.Methods急性康复后的流动性相关的偏好：在这个横断面研究中，半结构化，定性访谈中风幸存者（n = 24）和非正式照顾者（n = 15）进行。参与者被招募从community.Results：比较内容分析被用来确定由两个独立的编码器的主题。幸存者（68岁）和照顾者（58岁）提到了与行动能力相关的后果，包括无法行走、平衡、驾驶和转移;以及福尔斯增加。幸存者（63%）和照顾者（73%）也提到使用辅助设备。常见的康复活动包括：步行（62%）;其次是站立和移动;力量和平衡;以及轮椅技能。一些中风幸存者不满意，因为他们的康复不是以病人为中心的。幸存者最常提到的结果偏好是行走能力（88%）、移动能力和平衡能力。他们还想获得辅助设备来独立移动。照顾者关心幸存者的安全，并希望他们开车（53%），防止福尔斯，有家庭住宿，并独立转移。照顾者（40%）也表示接受现实的information.Conclusions的重要性：这项研究表明，需要考虑中风幸存者和照顾者的流动性结果的偏好，以提高以病人为中心的康复护理。
Purpose: To explore the mobility-related preferences among stroke survivors and caregivers following post-acute rehabilitation at inpatient or skilled nursing facilities.Methods: In this cross-sectional study; semi-structured, qualitative interviews of stroke survivors (n = 24) and informal caregivers (n = 15) were conducted. The participants were recruited from the community.Results: Comparative content analysis was used to identify themes by two independent coders. The survivors (68 years) and caregivers (58 years) mentioned mobility-related consequences including inability to walk, balance, drive, and transfer; and increased falls. The survivors (63%) and caregivers (73%) also mentioned the use of assistive devices. The common rehabilitation activities included: walking (62%); followed by standing and mobility; strength and balance; and wheelchair skills. Some stroke survivors were dissatisfied as their rehabilitation was not patient-centered. Frequently mentioned outcome preferences by survivors were ability to walk (88%), move, and balance. They also wanted to acquire assistive devices to move independently. Caregivers were concerned with the survivor's safety and wanted them to drive (53%), prevent falls, have home accommodations, and transfer independently. Caregivers (40%) also expressed the importance of receiving realistic information.Conclusions: This study suggests a need to consider the stroke survivors' and caregivers' mobility outcome preferences to improve the patient-centered rehabilitation care.