Darragh Amy R, Shiyko Mariya, Margulis Heather, Campo Marc
Amy R. Darragh, PhD, OTR/L, FAOTA, is Assistant Professor, Division of Occupational Therapy, School of Health and Rehabilitation Sciences, The Ohio State University, 406 Atwell Hall, 453 West 10th Avenue, Columbus, OH 43210;
Mariya Shiyko, PhD, is Assistant Professor, Northeastern University, Boston, MA.
Am J Occup Ther. 2014 Sep-Oct;68(5):589-96. doi: 10.5014/ajot.2014.011205.
OBJECTIVE. The aim of this study was to determine the effect of a safe patient handling and mobility (SPHM) program on patient self-care outcomes. METHOD. We used a retrospective cohort design. Data were obtained from the electronic medical records of 1,292 patients receiving inpatient rehabilitation services. Self-care scores from the FIM™ for patients who participated in rehabilitation before implementation of an SPHM program were compared with the scores of patients who participated after implementation of the program. RESULTS. Patients who received inpatient rehabilitation services with an SPHM program were as likely to achieve at least modified independence in self-care as those who received inpatient rehabilitation services without an SPHM program. CONCLUSION. SPHM programs may not affect self-care performance in adults receiving inpatient rehabilitation services. However, more work must be done to define specific and effective methods for integrating patient handling technologies into occupational therapy practice.
目的。本研究的目的是确定安全患者搬运与移动（SPHM）计划对患者自我护理结果的影响。方法。我们采用回顾性队列设计。数据来自1292名接受住院康复服务患者的电子病历。将在SPHM计划实施前参与康复的患者的FIM™自我护理评分与计划实施后参与康复的患者的评分进行比较。结果。接受包含SPHM计划的住院康复服务的患者在自我护理方面至少达到改良独立水平的可能性与接受不包含SPHM计划的住院康复服务的患者相同。结论。SPHM计划可能不会影响接受住院康复服务的成年人的自我护理表现。然而，必须开展更多工作来确定将患者搬运技术整合到职业治疗实践中的具体有效方法。
