识别中风幸存者的职业表现障碍：家庭评估的应用
Identifying Occupational Performance Barriers of Stroke Survivors: Utilization of a Home Assessment.
作者信息
Schulz Celia H, Hersch Gayle I, Foust Jessica L, Wyatt Alicia L, Godwin Kyler M, Virani Salimah, Ostwald Sharon K
机构信息
Occupational Therapy Department The University of Texas-Pan American 1201 W. University Drive, HSHE 1.128 Edinburg, TX 78539-2999
出版信息
Phys Occup Ther Geriatr. 2012 Jun 1;30(2). doi: 10.3109/02703181.2012.687441.
Abstract
BACKGROUND
Stroke survivors often have impairments that make it difficult for them to function safely in their home environment.
PURPOSE
The purpose of this study is to identify occupational performance barriers in the home and describe the subsequent recommendations offered to stroke survivors and their caregivers.
METHODS
An occupational therapist administered a home safety tool to assess stroke survivors' home environments, determine home safety problems, and provide recommendations.
FINDINGS
Among 76 stroke survivors, the greatest problems were indentified in the categories of , , and . Two case studies illustrate the use of the home safety tool with this population.
IMPLICATIONS
The home safety tool is helpful in determining the safety needs of stroke survivors living at home. We recommend the use of the home safety tool for occupational therapists assessing the safety of the home environment.
摘要
背景
中风幸存者常常存在功能障碍，这使得他们难以在家庭环境中安全地活动。
目的
本研究的目的是识别家庭环境中阻碍职业活动表现的因素，并描述随后向中风幸存者及其护理人员提供的建议。
方法
一名职业治疗师使用一种家庭安全工具来评估中风幸存者的家庭环境，确定家庭安全问题，并提供建议。
结果
在76名中风幸存者中，在……、……和……类别中发现了最大的问题。两个案例研究说明了该家庭安全工具在这一人群中的使用情况。
启示
家庭安全工具有助于确定居家中风幸存者的安全需求。我们建议职业治疗师使用该家庭安全工具来评估家庭环境的安全性。
相似文献
1
Identifying Occupational Performance Barriers of Stroke Survivors: Utilization of a Home Assessment.
Phys Occup Ther Geriatr. 2012 Jun 1;30(2). doi: 10.3109/02703181.2012.687441.
2
Experiences of support to return to work after stroke: longitudinal case studies from RETAKE trial.
Health Technol Assess. 2025 Mar 26:1-27. doi: 10.3310/WRKS9661.
3
Considerations for at-home upper-limb rehabilitation technology following stroke: Perspectives of stroke survivors and therapists.
J Rehabil Assist Technol Eng. 2023 Apr 20;10:20556683231171840. doi: 10.1177/20556683231171840. eCollection 2023 Jan-Dec.
4
Vocational rehabilitation for young stroke survivors in Gauteng public healthcare: Occupational therapists' perceptions1.
Work. 2021;69(1):91-107. doi: 10.3233/WOR-213460.
5
Differences in Daily Activity Performance Between Inpatient Rehabilitation Facility and Home Among Stroke Survivors.
Neurorehabil Neural Repair. 2024 Jun;38(6):403-412. doi: 10.1177/15459683241246266. Epub 2024 Apr 11.
6
Occupational therapy for care home residents with stroke.
Cochrane Database Syst Rev. 2013 Jun 5;2013(6):CD010116. doi: 10.1002/14651858.CD010116.pub2.
7
Mobile Videoconferencing for Occupational Therapists' Assessments of Patients' Home Environments Prior to Hospital Discharge: Mixed Methods Feasibility and Comparative Study.
JMIR Aging. 2022 Jul 5;5(3):e24376. doi: 10.2196/24376.
8
Understanding Occupational Therapists' Knowledge and Confidence When Assessing for Spatial Neglect: A Special Issue Review.
Am J Occup Ther. 2024 Mar 1;78(2). doi: 10.5014/ajot.2024.050354.
9
Effect of a Novel Transition Program on Disability After Stroke: A Trial Protocol.
JAMA Netw Open. 2019 Oct 2;2(10):e1912356. doi: 10.1001/jamanetworkopen.2019.12356.
10
Associations between quality of life and socioeconomic factors, functional impairments and dissatisfaction with received information and home-care services among survivors living at home two years after stroke onset.
BMC Neurol. 2014 Apr 28;14:92. doi: 10.1186/1471-2377-14-92.
引用本文的文献
1
Quality and Accessibility of Home Assessment mHealth Apps for Community Living: Systematic Review.
JMIR Mhealth Uhealth. 2024 Mar 11;12:e52996. doi: 10.2196/52996.
2
Exploring the co-involvement of disabled adolescents in participatory action research; protocol for a critical interpretative synthesis.
HRB Open Res. 2021 Jul 22;4:79. doi: 10.12688/hrbopenres.13343.1. eCollection 2021.
3
A structural equation model of falls at home in individuals with chronic stroke, based on the international classification of function, disability, and health.
PLoS One. 2020 Apr 10;15(4):e0231491. doi: 10.1371/journal.pone.0231491. eCollection 2020.
4
Minimal clinically important difference for the Fugl-Meyer assessment of the upper extremity in convalescent stroke patients with moderate to severe hemiparesis.
J Phys Ther Sci. 2019 Nov;31(11):917-921. doi: 10.1589/jpts.31.917. Epub 2019 Nov 26.
5
'No one prepared me to go home': Cerebrovascular accident survivors' experiences of community reintegration in a peri-urban context.
Afr J Prim Health Care Fam Med. 2019 Apr 24;11(1):e1-e8. doi: 10.4102/phcfm.v11i1.1806.
6
Lower garment-lifting postural control characteristics during toilet-related activities in healthy individuals and a post-stroke hemiplegic patient undergoing rehabilitation.
J Phys Ther Sci. 2018 Dec;30(12):1462-1467. doi: 10.1589/jpts.30.1462. Epub 2018 Nov 21.
7
Clinical effect size of an educational intervention in the home and compliance with mobile phone-based reminders for people who suffer from stroke: protocol of a randomized controlled trial.
JMIR Res Protoc. 2015 Mar 10;4(1):e33. doi: 10.2196/resprot.4034.
本文引用的文献
1
Deficits underlying impaired visually triggered step adjustments in mildly affected stroke patients.
Neurorehabil Neural Repair. 2010 May;24(4):393-400. doi: 10.1177/1545968309348317. Epub 2009 Dec 16.
2
Stress experienced by stroke survivors and spousal caregivers during the first year after discharge from inpatient rehabilitation.
Top Stroke Rehabil. 2009 Mar-Apr;16(2):93-104. doi: 10.1310/tsr1602-93.
3
Predictors of functional independence and stress level of stroke survivors at discharge from inpatient rehabilitation.
J Cardiovasc Nurs. 2008 Jul-Aug;23(4):371-7. doi: 10.1097/01.JCN.0000317435.29339.5d.
4
Evidence-based educational guidelines for stroke survivors after discharge home.
J Neurosci Nurs. 2008 Jun;40(3):173-9, 191. doi: 10.1097/01376517-200806000-00008.
5
Accessibility and usability of the physical housing environment of seniors with stroke.
Int J Rehabil Res. 2004 Sep;27(3):203-8. doi: 10.1097/00004356-200409000-00005.
6
Validity of using the Assessment of Motor and Process Skills to estimate overall home safety in persons with psychiatric conditions.
Am J Occup Ther. 2001 Nov-Dec;55(6):649-55. doi: 10.5014/ajot.55.6.649.
7
Position paper. Broadening the construct of independence.
Am J Occup Ther. 2002 Nov-Dec;56(6):660. doi: 10.5014/ajot.56.6.660.
8
A synthesis of the effects of occupational therapy for persons with stroke, Part I: Restoration of roles, tasks, and activities.
Am J Occup Ther. 2002 May-Jun;56(3):250-9. doi: 10.5014/ajot.56.3.250.
9
Well-being after stroke in Canadian seniors: findings from the Canadian Study of Health and Aging.
Stroke. 2002 Apr;33(4):1016-21. doi: 10.1161/01.str.0000013066.24300.f9.
10
Higher incidence of falls in long-term stroke survivors than in population controls: depressive symptoms predict falls after stroke.
Stroke. 2002 Feb;33(2):542-7. doi: 10.1161/hs0202.102375.
Zotero 插件