Tablet technology during stroke recovery: a survivor’s perspective*

Tablet technology during stroke recovery: a survivor’s perspective*
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中风康复过程中的平板电脑技术:幸存者的视角*

DOI:
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发表时间:
2015
影响因子:
2.2
通讯作者:
M. Pollack
M. Pollack
中科院分区:
医学3区
文献类型:
--
作者:
J. White;H. Janssen;L. Jordan;M. Pollack

文献摘要

被引文献

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摘要背景:临床医生对平板电脑技术在中风后市售平板电脑设备(即iPad)中的作用的兴趣正在上升。片剂具有鼓励参与治疗活动的潜力。我们的目的是探讨中风幸存者在中风恢复的前三个月内使用片剂的可接受性和经验。设计图:定性研究采用归纳专题的方法,结合不断比较的过程中,被用来收集和分析数据。背景:澳大利亚新南威尔士州大都市纽卡斯尔的社区居住中风幸存者。参与者:12名卒中幸存者(8名男性,4名女性;中位年龄73(IQR 58-83)岁)。主要结果测量:定性结果是参与者的看法,使用深入的,半结构化的访谈。结果:参与者发现片剂易于使用且有益。大多数中风幸存者在三个月的大部分时间里使用平板电脑进行治疗和休闲活动。出现了三个关键主题:(1)在iPad上建立:“它变得越来越容易”,(2)技术作为增加刺激的手段:“让我感兴趣的东西”,以及(3)访问iPad的个人经历:“它非常有帮助”。结论:在患者水平上,将片剂技术应用于卒中康复治疗似乎是可行的和可接受的。这一过程有可能改善治疗和/或休闲的参与;然而,需要进一步评价片剂技术对患者结局和生活质量的影响。对康复的影响平板电脑技术的使用提供了一个平台,可以增加中风治疗的种类和强度,无论是在医院环境中还是出院后,都可以促进身体、认知和社会活动。通过使用平板电脑技术,卒中幸存者参与治疗活动的程度增加,社会化程度提高,不活动和无聊程度降低。平板电脑技术在患者层面是可行和可接受的,为中风恢复期间使用交互式计算机设备提供了初步支持。
Abstract Background: Clinician interest in the role of tablet technology in commercially available tablet devices (i.e. iPads) following stroke is rising. Tablets have the potential to encourage engagement in therapeutic activities. We aimed to explore stroke survivor acceptability of and experience of tablet use during the first three months of stroke recovery. Design: A qualitative study using an inductive thematic approach incorporating the process of constant comparison was utilized to collect and analyse data. Setting: Community dwelling stroke survivors in metropolitan Newcastle, New South Wales, Australia. Participants: Twelve stroke survivors (8 male, 4 female; median age of 73 (IQR 58–83) years). Main outcome measures: Qualitative outcomes were participants’ perceptions using in-depth, semi-structured interviews. Results: Participants’ found tablets easy to use and beneficial. Most stroke survivors used the tablet to engage in therapeutic and leisure activities on most days during the three months. Three key themes emerged: (1) Getting established on the iPad: “It just became easier and easier”, (2) Technology as a means for increased stimulation: “Something to keep me interested”, and (3) Personal experiences of access to an iPad: “It’s been very helpful”. Conclusions: Incorporating tablet technology into the delivery of stroke rehabilitation appears to be feasible and acceptable at a patient level. This process has the potential to improve participation in therapeutic and or leisure; however further evaluation towards the impact of tablet technology on patient outcome and quality of life is required. Implications for Rehabilitation The use of tablet technology provides a platform to increase the variety and intensity of stroke therapy, both in the hospital setting and following discharge from hospital, facilitating physical, cognitive and social activity. Stroke survivors experienced increased participation in therapeutic activities, increased socialization and less inactivity and boredom through access to tablet technology. Tablet technology is feasible and acceptable at a patient level, providing preliminary support for the use of interactive computer devices during stroke recovery.