Takahashi Junpei, Takami Akiyoshi, Wakayama Saichi
Department of Rehabilitation, Faculty of Medical Science and Welfare, Tohoku Bunka Gakuen University, Japan ; Hirosaki University Graduate School of Health Sciences, Japan.
Hirosaki University Graduate School of Health Sciences, Japan.
J Phys Ther Sci. 2014 May;26(5):771-5. doi: 10.1589/jpts.26.771. Epub 2014 May 29.
[Purpose] Physical therapists must often determine whether hemiparetic patients can walk independently. However, there are no criteria, so decisions are often left to individual physical therapists. The purpose of this study was to explore how physical therapists determine whether a patient with hemiplegia can walk independently in a ward. [Methods] The subjects were 15 physical therapists with experience of stroke patients' rehabilitation. We interviewed them using semi-structured interviews related to the criteria of the states of walking in the ward of hemiparetic patients. The interviews were transcribed in full, and the texts were analyzed by coding and grouping. [Results] From the results of the interviews, PTs determined patients' independence of walking in hospital by observation of behavior during walking or treatment. The majority of PTs focused on the patients' state during walking, higher brain function, and their ability to balance. In addition, they often asked ward staff about patients' daily life, and self-determination. [Conclusions] We identified the items examined by physical therapists when determining the in-hospital walking independence of stroke patients. Further investigation is required to examine which of these items are truly necessary.
[目的] 物理治疗师常常需要判定偏瘫患者是否能够独立行走。然而，目前尚无相关标准，因此决策往往由物理治疗师个人做出。本研究旨在探讨物理治疗师如何判定偏瘫患者在病房内能否独立行走。[方法] 研究对象为15名有中风患者康复经验的物理治疗师。我们采用半结构化访谈，围绕偏瘫患者在病房内的行走状态标准对他们进行了访谈。访谈内容全部转录，通过编码和分组对文本进行分析。[结果] 从访谈结果来看，物理治疗师通过观察患者行走或治疗过程中的行为来判定其在医院内行走的独立性。大多数物理治疗师关注患者行走时的状态、高级脑功能以及平衡能力。此外，他们还经常向病房工作人员询问患者的日常生活及自主能力情况。[结论] 我们明确了物理治疗师在判定中风患者在医院内行走独立性时所考察的项目。需要进一步研究以确定这些项目中哪些是真正必要的。
