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中风物理治疗干预记录工具(SPIRIT)的开发。

The development of the Stroke Physiotherapy Intervention Recording Tool (SPIRIT).

作者信息

Tyson Sarah F, Selley Andrea

机构信息

Centre for Rehabilitation and Human Performance Research, Allerton Annexe, University of Salford, Salford, UK.

出版信息

Disabil Rehabil. 2004 Oct 21;26(20):1184-8. doi: 10.1080/09638280410001714781.

DOI:10.1080/09638280410001714781
PMID:15371018
Abstract

PURPOSE

To develop a recording system that describes physiotherapy interventions for the rehabilitation of postural control post-stroke.

DESIGN

A draft recording tool was developed using the method described by Edwards et al, involving literature searches and collaboration with senior clinicians. It was piloted with stroke physiotherapists using a cross-sectional survey design to assess validity, utility and completeness. Participants used the recording tool to record five treatment sessions. Feedback regarding the utility and completeness of the system was obtained via short semi-structured interviews.

SETTING

11 NHS Trusts.

PARTICIPANTS

35 stroke physiotherapists working in acute and rehabilitation settings recorded the treatment of 120 patients in 590 treatment sessions.

RESULTS

A double-sided A4 form with a checklist of 79 physiotherapy interventions in 9 categories was produced: the Stroke Physiotherapy Intervention Recording Tool (SPIRIT). The participants found it quick and easy to use and reflective of clinical practice. There were a few missing interventions and some confusion regarding definition of terms. Revisions were to include the omitted interventions and to produce a user's booklet defining the categories and interventions.

CONCLUSIONS

SPIRIT provides a system for recording physiotherapy treatment for stroke patients which reflects current clinical practice in acute and rehabilitation settings.

摘要

目的

开发一种记录系统,用于描述中风后姿势控制康复的物理治疗干预措施。

设计

采用爱德华兹等人描述的方法开发了一个记录工具草案,包括文献检索以及与资深临床医生合作。使用横断面调查设计对中风物理治疗师进行试点,以评估其有效性、实用性和完整性。参与者使用该记录工具记录五个治疗疗程。通过简短的半结构化访谈获得了关于该系统实用性和完整性的反馈。

地点

11个国民健康服务信托机构。

参与者

35名在急性和康复环境中工作的中风物理治疗师记录了120名患者在590个治疗疗程中的治疗情况。

结果

制作了一份双面A4表格,其中包含9类79项物理治疗干预措施的清单:中风物理治疗干预记录工具(SPIRIT)。参与者发现它使用起来快速简便,且反映了临床实践。存在一些遗漏的干预措施以及对术语定义的一些混淆。修订内容包括纳入遗漏的干预措施,并制作一本用户手册来定义类别和干预措施。

结论

SPIRIT提供了一种用于记录中风患者物理治疗的系统,该系统反映了急性和康复环境中的当前临床实践。

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Disabil Rehabil. 2004 Oct 21;26(20):1184-8. doi: 10.1080/09638280410001714781.
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A content analysis of physiotherapy for postural control in people with stroke: an observational study.中风患者姿势控制的物理治疗内容分析:一项观察性研究。
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Physiotherapy after stroke in Ireland: a qualitative insight into the patients' and physiotherapists' experience.爱尔兰中风后的物理治疗:对患者和物理治疗师经历的质性洞察。
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