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患者在住院康复期间使用技术的体验:支持独立和治疗参与的机会。

Patients' experiences with technology during inpatient rehabilitation: opportunities to support independence and therapeutic engagement.

作者信息

Fager Susan Koch, Burnfield Judith M

机构信息

Institute for Rehabilitation Science and Engineering, Madonna Rehabilitation Hospital , Lincoln, NE , USA.

出版信息

Disabil Rehabil Assist Technol. 2014 Mar;9(2):121-7. doi: 10.3109/17483107.2013.787124. Epub 2013 Apr 19.

DOI:10.3109/17483107.2013.787124
PMID:23600732
Abstract

PURPOSE

To understand individuals' perceptions of technology use during inpatient rehabilitation.

METHOD

A qualitative phenomenological study using semi-structured interviews of 10 individuals with diverse underlying diagnoses and/or a close family member who participated in inpatient rehabilitation.

RESULTS

Core themes focused on assistive technology usage (equipment set-up, reliability and fragility of equipment, expertise required to use assistive technology and use of mainstream technologies) and opportunities for using technology to increase therapeutic engagement (opportunities for practice outside of therapy, goals for therapeutic exercises and technology for therapeutic exercises: motivation and social interaction).

CONCLUSION

Interviews revealed the need for durable, reliable and intuitive technology without requiring a high level of expertise to install and implement. A strong desire for the continued use of mainstream devices (e.g. cell phones, tablet computers) reinforces the need for a wider range of access options for those with limited physical function. Finally, opportunities to engage in therapeutically meaningful activities beyond the traditional treatment hours were identified as valuable for patients to not only improve function but to also promote social interaction.

IMPLICATIONS FOR REHABILITATION

Assistive technology increases functional independence of severely disabled individuals. End-users (patients and families) identified a need for designs that are durable, reliable, intuitive, easy to consistently install and use. Technology use (adaptive or commercially available) provides a mechanism to extend therapeutic practice beyond the traditional therapy day. Adapting skeletal tracking technology used in gaming software could automate exercise tracking, documentation and feedback for patient motivation and clinical treatment planning and interventions.

摘要

目的

了解个体对住院康复期间技术使用的看法。

方法

一项定性现象学研究,采用半结构化访谈对10名有不同潜在诊断的个体和/或参与住院康复的亲密家庭成员进行访谈。

结果

核心主题集中在辅助技术的使用(设备设置、设备的可靠性和易碎性、使用辅助技术所需的专业知识以及主流技术的使用)以及利用技术增加治疗参与度的机会(治疗之外的练习机会、治疗性锻炼的目标以及治疗性锻炼的技术:动机和社交互动)。

结论

访谈揭示了对耐用、可靠且直观的技术的需求,且安装和实施不需要高水平的专业知识。对持续使用主流设备(如手机、平板电脑)的强烈渴望凸显了为身体功能受限者提供更广泛接入选项的必要性。最后,在传统治疗时间之外参与有治疗意义活动的机会被认为对患者不仅改善功能而且促进社交互动很有价值。

对康复的启示

辅助技术可提高严重残疾个体的功能独立性。最终用户(患者和家庭)确定需要耐用、可靠、直观、易于持续安装和使用的设计。技术使用(适应性或市售的)提供了一种将治疗实践扩展到传统治疗日之外的机制。改编游戏软件中使用的骨骼跟踪技术可实现运动跟踪、记录和反馈的自动化,以促进患者的积极性以及临床治疗计划和干预。

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