The feasibility and acceptability of integrating dogs into inpatient rehabilitation therapy with children with acquired brain injury.
The feasibility and acceptability of integrating dogs into inpatient rehabilitation therapy with children with acquired brain injury.
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将狗纳入患有后天性脑损伤的儿童住院康复治疗的可行性和可接受性。
DOI：
10.1002/pmrj.13176
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发表时间：
2024
期刊：
影响因子：
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通讯作者：
Quatman-Yates,CatherineC
中科院分区：
文献类型：
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作者：
Narad,MeganE;Knestrick,Kaelynn;Wade,ShariL;Kurowski,BradG;McConnell,AllenR;Quatman-Yates,CatherineC
获得性脑损伤(ABI)儿童由于认知障碍、影响活动能力、疼痛和疲劳而面临治疗参与度差的风险。动物辅助治疗(AAT)有可能提高患者对康复治疗的参与度；然而，将AAT纳入住院临床护理的严格治疗时间表或患者、家人和工作人员接受AAT的可行性尚不清楚。目的考察将狗纳入儿童获得性脑损伤患者的物理治疗和作业治疗的可行性和可接受性。设计一项在受试者内交叉研究的AAT可行性研究。设置儿科住院康复单元。参与者16名患者，年龄7-28 (平均 = 13.6 年，标准差[SD] = 5.2 年；AAT-将狗纳入住院物理治疗和职业治疗的治疗。主要结果衡量标准：注册率，狗参加AAT治疗的比例，不良事件，治疗师或训练员提前结束治疗的情况，患者与动物的亲近程度，以及狗在治疗中的利用率。满意度测评：家长满意度问卷调查和治疗师反馈。结果高注册率(88.9%)和93%~95%的犬只上座率支持可行性；84.3%的会议期间使用狗的方式较多，患者在会议中与狗的亲密度很高，表明狗以有意义的方式融入。没有注意到不良事件，治疗师报告说干预是方便的，临床护理没有受到负面影响。家属和治疗师对AAT的满意度较高。结论AAT是可行和可接受的，对于住院康复病房的ABI患者治疗师来说，它可能是一个有价值的工具。
IntroductionChildren with acquired brain injury (ABI) are at risk for poor therapeutic engagement due to cognitive impairment, affect lability, pain, and fatigue. Animal‐assisted therapy (AAT) has the potential to improve patient engagement in rehabilitation therapies; however, the feasibility of integrating AAT into the rigorous therapy schedule of inpatient clinical care or its reception by patients, families, and staff is unknown.ObjectiveTo examine the feasibility and acceptability of incorporating dogs into physical therapy and occupational therapy sessions with pediatric patients being treated on an inpatient rehabilitation unit for acquired brain injury.DesignA feasibility study of AAT within the context of a within‐subjects crossover study.SettingPediatric inpatient rehabilitation unit.ParticipantsSixteen patients, aged 7–28 years (mean = 13.6 years, standard deviation [SD] = 5.2 years; 50% male), being treated on the inpatient rehabilitation unit following ABI.InterventionAAT – the integration of dogs into inpatient physical therapy and occupational therapy sessions.Main Outcome MeasuresFeasibility measures: enrollment rate, the proportion of AAT sessions a dog attended, adverse events, instances where therapist or handler ended session early, patient animal closeness, and utilization of dog in session. Satisfaction measures: parent satisfaction questionnaires and therapist feedback.ResultsFeasibility was supported by high enrollment rate (88.9%) and dog attendance rate of 93%–95%; 84.3% of sessions used the dog in multiple ways and patients reported a high level of closeness with the dog in session, indicating that the dogs were integrated in meaningful ways. No adverse events were noted, therapists reported that intervention was convenient, and clinical care was not negatively impacted. A high level of satisfaction was reported by families and therapists.ConclusionsFindings suggest that AAT is feasible and acceptable, and it may be a valuable tool for therapists working with patients with ABI on an inpatient rehabilitation unit.