Nursing Science Department, University Medical Centre Utrecht, Utrecht, The Netherlands.
Clin Rehabil. 2009 Dec;23(12):1145-50. doi: 10.1177/0269215509341526.
To describe the time use of stroke patients on rehabilitation units of a nursing home focusing on the time spent on therapeutic activities, non-therapeutic activities, interactions and the location wherein these took place.
A descriptive study.
Rehabilitation units of a nursing home.
Seventeen chronic stroke patients, including 9 men, 8 women, with a mean age of 77 years (SD +/- 7.6 years).
Daily activities of patients were measured using Behavioural Mapping, including therapeutic activities, non-therapeutic activities, interactions and their location. Functional status was measured with the Barthel Index.
Of the patients 15 (88%) were partly/fully paralysed, with a mean Barthel Index score of 9.4 (SD +/- 4.3). The patients spent 20% of the day on therapeutic activities, whereas 80% of the day was spent on non-therapeutic activities; 9% on therapeutic activities with the nurse. For 60% of the day patients were alone and not interacting with others.
Stroke patients spend only short periods of time during the day on therapeutic activities. For the largest part of the day, the patient is alone and passive. A challenge for nurses is how to activate patients and engage them in purposeful task-oriented training in daily activities.
描述疗养院康复病房中风患者的时间利用情况，重点关注治疗性活动、非治疗性活动、互动以及这些活动发生的地点所花费的时间。
描述性研究。
疗养院的康复病房。
17 名慢性中风患者，包括 9 名男性，8 名女性，平均年龄 77 岁（标准差 +/- 7.6 岁）。
使用行为映射法测量患者的日常活动，包括治疗性活动、非治疗性活动、互动及其地点。功能状态采用巴氏指数测量。
15 名患者中有 15 名（88%）部分/完全瘫痪，巴氏指数平均得分为 9.4（标准差 +/- 4.3）。患者每天有 20%的时间用于治疗性活动，而 80%的时间用于非治疗性活动；9%的时间与护士进行治疗性活动。每天有 60%的时间患者独自一人，没有与他人互动。
中风患者每天只有很短的时间进行治疗性活动。一天中的大部分时间，患者都是独自一人，处于被动状态。护士面临的挑战是如何激活患者，并使他们参与有目的的、以任务为导向的日常活动训练。
