Developing an individualised cross-sectoral programme based on activities of daily living to support rehabilitation of older adults with hip fracture: a qualitative study.
Developing an individualised cross-sectoral programme based on activities of daily living to support rehabilitation of older adults with hip fracture: a qualitative study.
复制标题
DOI：
10.1136/bmjopen-2020-044539
复制
发表时间：
2021-06-18
期刊：
影响因子：
2.9
通讯作者：
Morville AL
中科院分区：
文献类型：
--
作者：
Ropke A;Lund K;Thrane C;Juhl C;Morville AL
为个人和工具性日常生活活动（ADL）任务制定个性化康复计划，使髋部骨折的老年人能够安全独立地进行ADL。定性研究的灵感来自复杂的干预发展（医学研究理事会框架第一阶段），使用文献检索和研究圈。哥本哈根大学医院、Herlev和Gentofte以及Herlev和Gentofte市。一个研究圈有7名髋部骨折的老年人，另一个有7名医疗保健专业人员（职业治疗师和物理治疗师）。确定了三个通用类别：（1）“挑战老年人以目标为导向的ADL任务”，（2）“实施战略，以提高独立和安全的ADL任务的性能”，和（3）“沟通的重要信息，目标群体和跨部门”。制定了一项计划，并设计了一项干预措施，以加强日常康复，包括：一个个性化的干预组成部分，包括五个额外的治疗疗程;一个在住院期间，四个在市政府和一个后续电话。将活动参与和整合到康复治疗中可以支持康复。我们的研究强调了需要制定个人目标，并通过提供策略指导来挑战髋部骨折的老年人，以提高ADL任务的安全性和独立性。此外，还强调需要为髋部骨折的老年人和医疗保健专业人员提供有关过渡康复阶段目标设定的书面和口头信息。纳入髋部骨折老年人和保健专业人员的观点，为康复工作增添了价值，从而确保了充分、切实和可执行的康复方案。本文是受医学研究理事会指导方针启发的三篇文章中的第一篇。下一项研究是可行性研究，试验注册：ClinicalTrials.gov ID：NCT 03828240。结果现在正在写在文章中。第三项研究是一项随机对照试验，试验注册：ClinicalTrials.gov ID：NCT 04207788;预结果。
To develop an individualised rehabilitation programme for personal and instrumental activities of daily living (ADL) tasks, enabling older adults with hip fractures to perform ADL safely and independently. Qualitative study inspired by the complex intervention development (Medical Research Council framework phase I) using literature search and research circles. University Hospital of Copenhagen, Herlev and Gentofte, and Herlev and Gentofte municipalities. One research circle with seven older adults with hip fractures, and one with seven healthcare professionals (occupational therapists and physiotherapists). Three generic categories were identified: (1) ‘Challenge older adults with goal-oriented ADL tasks’, (2) ‘Implement strategies to enhance independent and safe performance of ADL tasks’, and (3) ‘Communicate the important information to the target group and across sectors’. A programme was developed and an intervention to enhance usual rehabilitation was designed comprising: an individualised intervention component consisting of five additional therapy sessions; one during hospitalisation, four in the municipality and a follow-up phone call. Engaging and integrating activities into rehabilitation treatment may support rehabilitation. Our study highlighted the need for setting individual goals and challenging older adults with hip fracture by providing guidance in strategies to enhance safe and independent performance of ADL tasks. Furthermore, the need for providing older adults with hip fracture and healthcare professionals with written and oral information about goal setting during the transitional rehabilitation phase was emphasised. Including the perspectives of older adults with hip fracture and healthcare professionals added value to the rehabilitation, and thus ensured an adequate, tangible and implementable rehabilitation programme. This article is the first of three articles inspired by Medicial Research Council guidelines. The next study is a feasibility study with the trial registration: ClinicalTrials.gov ID: NCT03828240. The results are right now being written in article. The third study is a randomised controlled trial with the trial registration: ClinicalTrials.gov ID: NCT04207788; Pre-results.
登录
查看更多内容
DOI：
10.1046/j.1532-5415.2003.51185.x
发表时间：
2003-04-01
影响因子：
6.3
作者：
Coleman, EA
通讯作者：
Coleman, EA
影响因子：
3.8
作者：
Elo, Satu;Kyngaes, Helvi
通讯作者：
Kyngaes, Helvi
影响因子：
2.7
作者：
Iwarsson, Susanne;Edberg, Anna-Karin;Schmidt, Steven
通讯作者：
Schmidt, Steven
影响因子：
6.3
作者：
Beaupre LA;Carson JL;Noveck H;Magaziner J
通讯作者：
Magaziner J
影响因子：
3.8
作者：
Coyne, IT
通讯作者：
Coyne, IT