School of Physiotherapy, La Trobe University, Australia.
Disabil Rehabil. 2010;32(6):492-9. doi: 10.3109/09638280903171568.
To explore the perceptions of clinicians about walking requirements and discharge criteria for patients being discharged home in the community from rehabilitation after hip fracture.
Twelve experienced clinicians (all females) (mean experience in rehabilitation 13 years) were interviewed using an in-depth semi-structured format. The recorded interviews were transcribed and coded independently by two researchers. From these codes themes were developed.
For discharge planning, all clinicians considered personal/psychosocial factors such as patient goals and social support. Almost all clinicians considered that the performance factor of safe and independent ambulation was important to consider when planning the patient's discharge, but did not set specific distances or speeds. Clinicians expected that pain, a lack of confidence, and walking outdoors would affect the mobility at home but these factors were considered little in discharge planning.
In planning discharge after rehabilitation for hip fracture, clinicians place more emphasis on the individual needs and goals of the patient than on specifying objective performance criteria that must be met. The expectation that lack of confidence could be a problem after returning home suggests that this factor could be considered more in discharge planning.
探讨临床医生对髋部骨折康复后出院回家的患者行走要求和出院标准的看法。
采用深度半结构化访谈的方式对 12 名经验丰富的临床医生（均为女性）（康复经验中位数为 13 年）进行访谈。记录的访谈由两名研究人员独立转录和编码。从这些代码中开发出主题。
对于出院计划，所有临床医生都考虑了个人/社会心理因素，如患者的目标和社会支持。几乎所有的临床医生都认为，在规划患者出院时，安全和独立行走的表现因素很重要，但没有设定具体的距离或速度。临床医生预计疼痛、缺乏信心和户外行走会影响在家中的活动能力，但这些因素在出院计划中考虑得很少。
在规划髋部骨折康复后的出院时，临床医生更注重患者的个体需求和目标，而不是规定必须满足的客观表现标准。对出院回家后缺乏信心可能成为问题的期望表明，在出院计划中可以更多地考虑这一因素。
