Pomeroy V M, Niven D S, Barrow S, Faragher E B, Tallis R C
The Stroke Association's Therapy Research Unit, The University of Manchester, UK.
Clin Rehabil. 2001 Feb;15(1):67-83. doi: 10.1191/026921501675454995.
To describe current nursing and therapy interventions for the prevention and treatment of post-stroke shoulder pain and to explore the extent of their reported use in England.
Semi-structured, the med interviews followed by a postal questionnaire.
Six nurses, five occupational therapists (OTs) and six physiotherapists (PTs) were interviewed. Twelve nurses, 12 OTs and 12 PTs were sent the pilot questionnaire and the main questionnaire was posted to 332 nurses, 332 OTs and 332 PTs.
NHS Trusts in England which provide acute stroke care/rehabilitation.
Two researchers independently condensed the transcripts of the interviews into a list of interventions which were then transformed into a pilot postal questionnaire. Following the pilot small changes were made. Participants sent the main questionnaire were given three weeks to return it before being posted a reminder. After a further two weeks a researcher gave a telephone reminder.
One hundred and seventy-five different types of interventions were identified. The main questionnaire (57.8% response rate) found that all of the interventions were used by at least one respondent and that only 22.9% of the interventions were used to the same extent by nurses, OTs and PTs. The data also suggest variation in reported use within professions.
This study has found a large number of interventions for post-stroke shoulder pain which are reported to be used. This might reflect different causes of shoulder pain or variation between clinicians. Answers to these questions are expected to guide future evaluative research.
描述当前用于预防和治疗中风后肩痛的护理及治疗干预措施，并探究这些措施在英国的使用程度。
半结构化的医学访谈，随后进行邮寄问卷调查。
对6名护士、5名职业治疗师（OT）和6名物理治疗师（PT）进行了访谈。向12名护士、12名OT和12名PT发放了预调查问卷，向332名护士、332名OT和332名PT发放了主调查问卷。
英国提供急性中风护理/康复服务的国民健康服务信托机构。
两名研究人员独立将访谈记录整理成一份干预措施清单，然后将其转化为预邮寄问卷。在预调查之后进行了一些小的修改。收到主调查问卷的参与者有三周时间回复，之后会收到提醒邮件。再过两周，一名研究人员会进行电话提醒。
共识别出175种不同类型的干预措施。主调查问卷（回复率为57.8%）显示，所有干预措施都至少有一名受访者使用，且只有22.9%的干预措施在护士、OT和PT中的使用程度相同。数据还表明，各专业内部在报告的使用情况上存在差异。
本研究发现了大量据报道用于中风后肩痛的干预措施。这可能反映了肩痛的不同原因或临床医生之间的差异。对这些问题的回答有望为未来的评估研究提供指导。
