Hammond R, Lennon S, Walker M F, Hoffman A, Irwin P, Lowe D
Chartered Society of Physiotherapy, London.
Clin Rehabil. 2005 Jun;19(4):365-71. doi: 10.1191/0269215505cr784oa.
The National Clinical Guidelines for Stroke (NCGS) were produced and three rounds of the National Sentinel Audit of Stroke conducted to improve the quality of stroke care in the UK.
To compare the results of the occupational therapy and physiotherapy elements of the most recent national sentinel audit with the occupational therapy- and physiotherapy-specific recommendations of the NCGS.
Retrospective case-note audit.
Over 95% of hospitals/sites who manage stroke in England, Wales and Northern Ireland took part in the most recent round of the sentinel audit. The clinical audit took place from 1 April to 30 June 2001 and incorporated 235 hospitals/sites. The organizational audit took place in January 2002 and incorporated 240 hospitals/sites. Data are presented from the 235 with both clinical and organizational data, under the headings of: approaches to rehabilitation; carers/families; rehabilitation interventions; and transfer to the community. Low rates of compliance with national standards were observed for all domains.
Our findings suggest that occupational therapists and physiotherapists are not fully complying with the national standards for stroke care.
英国制定了《国家中风临床指南》（NCGS），并开展了三轮全国中风哨点审计，以提高中风护理质量。
将最近一次全国哨点审计中的职业治疗和物理治疗部分的结果与NCGS中针对职业治疗和物理治疗的具体建议进行比较。
回顾性病例记录审计。
在英格兰、威尔士和北爱尔兰管理中风患者的医院/机构中，超过95%参与了最近一轮的哨点审计。临床审计于2001年4月1日至6月30日进行，涵盖235家医院/机构。组织审计于2002年1月进行，涵盖240家医院/机构。现列出235家同时提供临床和组织数据的机构的数据，标题如下：康复方法；护理人员/家属；康复干预措施；以及转至社区。所有领域的国家标准遵守率均较低。
我们的研究结果表明，职业治疗师和物理治疗师并未完全遵守中风护理的国家标准。
