Australian Neuromuscular Research Institute, CNND, University of Western Australia, Australia.
Clin Rehabil. 2012 Dec;26(12):1141-9. doi: 10.1177/0269215512442669. Epub 2012 May 31.
To evaluate the process and outcome of a multidisciplinary inpatient goal planning rehabilitation programme on physical, social and psychological functioning for patients with spinal cord injury.
Clinical audit: quantitative and qualitative analyses.
Specialist spinal injury unit, Perth, Australia.
Consecutive series of 100 newly injured spinal cord injury inpatients. MAIN MEASURE(S): The Needs Assessment Checklist (NAC), patient-focused goal planning questionnaire and goal planning progress form.
The clinical audit of 100 spinal cord injured patients revealed that 547 goal planning meetings were held with 8531 goals stipulated in total. Seventy-five per cent of the goals set at the first goal planning meeting were achieved by the second meeting and the rate of goal achievements at subsequent goal planning meetings dropped to 56%. Based on quantitative analysis of physical, social and psychological functioning, the 100 spinal cord injury patients improved significantly from baseline to discharge. Furthermore, qualitative analysis revealed benefits consistently reported by spinal cord injury patients of the goal planning rehabilitation programme in improvements to their physical, social and psychological adjustment to injury.
The findings of this clinical audit underpin the need for patient-focused goal planning rehabilitation programmes which are tailored to the individual's needs and involve a comprehensive multidisciplinary team.
评估多学科住院患者目标规划康复计划对脊髓损伤患者身体、社会和心理功能的过程和结果。
临床审核：定量和定性分析。
澳大利亚珀斯的脊髓损伤专科病房。
连续的 100 例新入院的脊髓损伤患者。
需求评估检查表（NAC）、以患者为中心的目标规划问卷和目标规划进展表。
对 100 例脊髓损伤患者的临床审核显示，共举行了 547 次目标规划会议，总共规定了 8531 个目标。在第一次目标规划会议上设定的目标中有 75%在第二次会议上实现，随后的目标规划会议上的目标实现率下降到 56%。基于身体、社会和心理功能的定量分析，这 100 例脊髓损伤患者从基线到出院显著改善。此外，定性分析显示，脊髓损伤患者一致报告目标规划康复计划在改善身体、社会和心理适应损伤方面的益处。
本次临床审核的结果表明，需要制定以患者为中心的目标规划康复计划，该计划应根据个人需求制定，并涉及全面的多学科团队。
