Department of Rehabilitation Medicine, University Hospital Uppsala, and Institute of Neuroscience, Uppsala University, Sweden.
Am J Phys Med Rehabil. 2011 Jun;90(6):482-9. doi: 10.1097/PHM.0b013e31820f9768.
: The aim of this study was to document physicians' opinions on inpatient rehabilitation care for working-age patients in vegetative state after new acquired brain injury, given the absence of an established standard of post-acute care.
: A postal survey of 3259 Swedish physicians was conducted.
: Survey response rate was 33%. Of survey respondents, 51% reported that they knew the definition of vegetative state. Transfer of vegetative patients from acute care to inpatient rehabilitation was considered always warranted by 54% and never or only sometimes warranted by 31% of survey respondents, whereas 15% did not know or did not answer. Rehabilitation physicians most often considered an inpatient rehabilitation stay of around 3 mos to be appropriate, but there was a lack of consensus. Discharge from acute care direct to social care at least sometimes was reported by 39% of physicians.
: Physicians' opinions vary considerably on appropriate post-acute care for patients in vegetative state after acquired brain injury. This may impact on rates of referral and admission to rehabilitation units. Consensus is needed on a minimum period for and extent of rehabilitation interventions. Educational interventions should be targeted broadly to reach the wide range of specialties that may have responsibility for acute care of these patients.
本研究旨在记录医生对新获得性脑损伤后处于植物状态的工作年龄患者住院康复护理的意见，因为目前没有既定的康复后护理标准。
对 3259 名瑞典医生进行了邮寄调查。
调查回复率为 33%。在接受调查的医生中，51%的人报告说他们知道植物状态的定义。54%的医生认为将植物状态患者从急性护理转移到住院康复治疗是始终必要的，31%的医生认为从不或仅有时必要，而 15%的医生不知道或未回答。康复医生最常认为住院康复治疗的时间约为 3 个月，但缺乏共识。39%的医生报告说，患者从急性护理直接转至社会护理至少有时是合理的。
医生对获得性脑损伤后处于植物状态患者的康复后护理意见差异很大。这可能会影响转介和进入康复病房的比率。需要就康复干预的最小时间和程度达成共识。应广泛开展教育干预措施，以覆盖可能负责这些患者急性护理的广泛专业领域。
