Vermeulen Chantal J A H R, Buijck Bianca I, van der Stegen John C G H, van Eijk Monica Spruit-, Koopmans Raymond T C M, Hafsteinsdóttir Thóra B
Vitalis Behandel Groep, Eindhoven, The Netherlands.
Rehabil Nurs. 2013 Nov-Dec;38(6):297-305. doi: 10.1002/rnj.79. Epub 2013 May 29.
To describe the time use of patients with stroke in five Skilled Nursing Facilities (SNFs) in the Netherlands, focusing on the time spent on therapeutic activities, nontherapeutic activities, interaction with others, and the location where the activities took place. Evidence suggest that task-oriented interventions are the most effective for patients with stroke and that some of these interventions are relevant and feasible for use by nurses. The question arises to what extent elderly patients who had a stroke and rehabilitate in a SNF receive therapeutic training and engage in therapeutic activities.
Descriptive, observational design. Therapeutic and nontherapeutic activities of patients were observed at 10-minute intervals during one weekday (8 a.m.-4:30 p.m.) using behavioral mapping.
Forty-two patients with stroke with a mean age of 76 years participated in the study. The patients spent 56% of the day on therapeutic activities, whereas 44% of the day was spent on nontherapeutic activities. Most therapeutic time was spent on nursing care (9%) and physical therapy (4%). Patients stayed an average 41% of the day in their own room and were alone 49% of the day. Therapeutic time use was significantly related to improved functional status, patients with higher functional status spent more time on therapeutic activities.
Patients spent more than half of the day on therapeutic activities.
Nurses are faced with the challenge of activating patients with stroke and to assist them to engage in purposeful task-oriented exercises including daily activities. Thereby better rehabilitation results and recovery of patients may be reached.
描述荷兰五家熟练护理机构（SNFs）中中风患者的时间利用情况，重点关注在治疗活动、非治疗活动、与他人互动以及活动发生地点上所花费的时间。有证据表明，以任务为导向的干预措施对中风患者最为有效，并且其中一些干预措施对护士来说是相关且可行的。问题在于，在SNF中中风并进行康复治疗的老年患者在多大程度上接受了治疗训练并参与了治疗活动。
描述性观察设计。在一个工作日（上午8点至下午4点30分）期间，每隔10分钟使用行为映射法观察患者的治疗和非治疗活动。
42名平均年龄为76岁的中风患者参与了该研究。患者一天中56%的时间用于治疗活动，而44%的时间用于非治疗活动。大部分治疗时间花在护理（9%）和物理治疗（4%）上。患者一天中平均41%的时间待在自己房间，49%的时间独处。治疗时间的利用与功能状态的改善显著相关，功能状态较高的患者在治疗活动上花费的时间更多。
患者一天中超过一半的时间用于治疗活动。
护士面临着激发中风患者活力并协助他们参与包括日常活动在内的有目的的任务导向性锻炼的挑战。从而可能实现更好的康复效果和患者的恢复。
