Cobbe Sinead, Nugent Kathy, Real Shirley, Slattery Sinead, Lynch Margaret
Milford Care Centre, Castletroy, Limerick, Ireland.
Int J Palliat Nurs. 2013 Jan;19(1):39-45. doi: 10.12968/ijpn.2013.19.1.39.
To profile a specialised palliative care physiotherapy service to community-dwelling patients.
Retrospective audit.
Milford Care Centre, Limerick, Ireland.
Patients referred to hospice-at-home physiotherapy during September 2010-February 2011.
Edmonton Functional Assessment Tool (EFAT-2).
165 patients were referred, of whom 90% had cancer. Nurses referred 120 (73%). Referrals appeared to be increased by the presence of physiotherapists in the nursing bases. No asssessment was conducted for 55 referrals (33%), mainly owing to clinical deterioration. The remaining 110 patients were assessed, with 47 (43%) being contacted within 2 days of referral (mean 4 days, standard deviation 4.2, range 0-21 days). Physical function ranged from 0-18 (median 7, mode 4) on the EFAT-2 scale. The most commonly used treatments were exercises and advice/education.
Referrals to the at-home physiotherapy service are heavily dependent on nurses and their understanding of the physiotherapy role. Patients tended to be relatively high functioning and tolerated numerous interventions.
对社区居家患者的专科姑息治疗物理治疗服务进行剖析。
回顾性审计。
爱尔兰利默里克的米尔福德护理中心。
2010年9月至2011年2月期间转介至居家临终关怀物理治疗的患者。
埃德蒙顿功能评估工具（EFAT - 2）。
共转介了165名患者，其中90%患有癌症。护士转介了120名（73%）。护理基地配备物理治疗师似乎增加了转介量。55例转介（33%）未进行评估，主要原因是临床病情恶化。其余110名患者接受了评估，其中47名（43%）在转介后2天内得到联系（平均4天，标准差4.2天；范围0 - 21天）。在EFAT - 2量表上，身体功能评分为0 - 18分（中位数7分，众数4分）。最常用的治疗方法是运动和建议/教育。
居家物理治疗服务的转介严重依赖护士以及他们对物理治疗作用的理解。患者功能往往相对较好，能够耐受多种干预措施。
