Tyson S F, Burton L, McGovern A
School of Nursing, Midwifery & Social Work, University of Manchester, Manchester, UK
School of Nursing, Midwifery & Social Work, University of Manchester, Manchester, UK Greater Manchester Strategic Clinical Network, Stockport, UK.
Clin Rehabil. 2016 Feb;30(2):191-8. doi: 10.1177/0269215515575335. Epub 2015 Mar 10.
To develop an intervention and undertake a proof-of-concept evaluation of its feasibility, acceptability, and impact on recorded patient activity levels during inpatient stroke rehabilitation.
A longitudinal cohort design.
Three inpatient stroke rehabilitation services.
Stroke survivors receiving inpatient rehabilitation.
A programme designed to increase patient activity, including individualised patient timetables, independent practice, therapeutic group work, and structured social activities was developed and implemented without additional resource.
Patients' recorded activity levels were compared for two weeks before and after implementation of the programme. Data regarding the estimated time spent in different types of activity were extracted from patient treatment records, patients' and therapists' diaries, or timetables (if used) to measure patient activity levels
At baseline, recorded activity levels were low; patients undertook a mean of 61 minutes (SD = 39) of activity per day. After implementation of the programme, recorded activity levels significantly increased to a mean of 123 minutes (SD = 88) per day (p = 0.0001). The time spent in all types of recorded activity increased (p = 0.0001-0.002), except psychology where the increase did not reach significance (p = 0.670).
A structured programme can significantly increase recorded patient activity levels during inpatient stroke rehabilitation without additional resource.
制定一项干预措施，并对其在住院中风康复期间的可行性、可接受性以及对记录的患者活动水平的影响进行概念验证评估。
纵向队列设计。
三个住院中风康复服务机构。
接受住院康复治疗的中风幸存者。
制定并实施了一项旨在增加患者活动的计划，包括个性化的患者时间表、独立练习、治疗性小组活动和结构化社交活动，且无需额外资源。
在该计划实施前后两周，比较患者记录的活动水平。从患者治疗记录、患者和治疗师的日记或时间表（如果使用）中提取有关在不同类型活动中花费的估计时间的数据，以测量患者的活动水平。
在基线时，记录的活动水平较低；患者每天平均进行61分钟（标准差=39）的活动。该计划实施后，记录的活动水平显著增加至每天平均123分钟（标准差=88）（p=0.0001）。除心理活动外，所有类型记录活动所花费的时间均增加（p=0.0001-0.002），心理活动的增加未达到显著水平（p=0.670）。
一项结构化计划可在不增加资源的情况下，显著提高住院中风康复期间记录的患者活动水平。
