A client-centred ADL intervention: three-month follow-up of a randomized controlled trial.
A client-centred ADL intervention: three-month follow-up of a randomized controlled trial.
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DOI：
10.3109/11038128.2014.880126
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发表时间：
2014-09
影响因子：
1.9
通讯作者：
Tham K
中科院分区：
文献类型：
--
作者：
Bertilsson AS;Ranner M;von Koch L;Eriksson G;Johansson U;Ytterberg C;Guidetti S;Tham K
目的是研究以患者为中心的日常生活活动（ADL）干预（CADL）与常规ADL干预（UADL）在卒中患者中的比较：ADL的独立性、感知参与、生活满意度、使用家庭帮助服务和对培训的满意度，以及在他们的重要他人中，关于照顾者负担、生活满意度和非正式护理。在这项多中心研究中，16个康复单位被随机分配到提供CADL或UADL。提供CADL的职业治疗师接受过专门培训。符合入选条件的是卒中后≤3个月在卒中单元接受治疗的卒中患者，依赖≥ 2种ADL，未诊断为痴呆，并且能够理解说明。在入选时和入选后3个月收集数据。为了检测两组在卒中影响量表（SIS）领域“参与”中的显著差异，需要280名参与者。采用意向治疗分析。在3个月时，CADL组（n = 129）和UADL组（n = 151）之间的结果没有差异，或者除了在SIS领域“情绪”方面CADL更有利（p = 0.04）之外，其他显著差异（n = 87/n = 93）。CADL似乎不会带来短期的结果差异，需要更长时间的随访。
The aim was to study a client-centred activities of daily living (ADL) intervention (CADL) compared with the usual ADL intervention (UADL) in people with stroke regarding: independence in ADL, perceived participation, life satisfaction, use of home-help service, and satisfaction with training and, in their significant others, regarding: caregiver burden, life satisfaction, and informal care. In this multicentre study, 16 rehabilitation units were randomly assigned to deliver CADL or UADL. The occupational therapists who provided the CADL were specifically trained. Eligible for inclusion were people with stroke treated in a stroke unit ≤3 months after stroke, dependent in ≥two ADL, not diagnosed with dementia, and able to understand instructions. Data were collected at inclusion and three months thereafter. To detect a significant difference between the groups in the Stroke Impact Scale (SIS) domain “participation”, 280 participants were required. Intention-to-treat analysis was applied. At three months, there was no difference in the outcomes between the CADL group (n = 129) and the UADL group (n = 151), or their significant others (n = 87/n = 93) except in the SIS domain “emotion” in favour of CADL (p = 0.04). The CADL does not appear to bring about short-term differences in outcomes and longer follow-ups are required.
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DOI：
10.1016/s0003-9993(96)90164-1
发表时间：
1996-02-01
影响因子：
4.3
作者：
Elmstahl, S;Malmberg, B;Annerstedt, L
通讯作者：
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影响因子：
3.5
作者：
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通讯作者：
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影响因子：
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作者：
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通讯作者：
Fugl-Meyer, Axel R
影响因子：
7.6
作者：
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通讯作者：
Marien, Hans
影响因子：
8.3
作者：
Duncan, PW;Lai, SM;Studenski, S
通讯作者：
Studenski, S