Hoekstra Femke, Hettinga Florentina J, Alingh Rolinde A, Duijf Marjo, Dekker Rienk, van der Woude Lucas H V, van der Schans Cees P
a Centre for Human Movement Sciences, University of Groningen, University Medical Centre Groningen , Groningen , The Netherlands.
b Centre for Rehabilitation, Department of Rehabilitation Medicine, University of Groningen, University Medical Centre Groningen , Groningen , The Netherlands.
Disabil Rehabil. 2017 Jan;39(2):181-186. doi: 10.3109/09638288.2015.1073371. Epub 2015 Aug 5.
To describe the current status of the nationwide implementation process of a sports and physical activity stimulation programme to gain insight into how sports and physical activity were integrated into Dutch rehabilitation care.
The current implementation status of a sports and physical activity stimulation programme in 12 rehabilitation centres and 5 hospitals with a rehabilitation department was described by scoring fidelity and satisfaction. Seventy-one rehabilitation professionals filled out a questionnaire on how sports and physical activity, including stimulation activities, were implemented into rehabilitation care. Total fidelity scores (in %) were calculated for each organization. Professionals' satisfaction was rated on a scale from 1 to 10.
In most organizations sports and physical activity were to some extent integrated during and after rehabilitation (fidelity scores: median = 54%, IQR = 23%). Physical activity stimulation was not always embedded as standard component of a rehabilitation treatment. Professionals' satisfaction rated a median value of 8.0 (IQR = 0.0) indicating high satisfaction rates.
The fidelity outcome showed that activities to stimulate sports and physical activity during and after rehabilitation were integrated into rehabilitation care, but not always delivered as standardized component. These findings have emphasized the importance to focus on integrating these activities into routines of organizations. Implications for Rehabilitation Components of an evidence-based programme to stimulate sports and physical activity during and after rehabilitation can be used to measure the current status of the integration of sports and physical activity in rehabilitation care in a structural and effective way. The method described in the current study can be used to compare the content of the rehabilitation care regarding the integration of sports and physical activity among organizations both on a national and international level. Sports and physical activity are seen as important ingredients for successful rehabilitation care in The Netherlands.
描述一项体育与身体活动刺激计划在全国范围内的实施现状，以深入了解体育与身体活动是如何融入荷兰康复护理中的。
通过对保真度和满意度进行评分，描述了一个体育与身体活动刺激计划在12个康复中心和5家设有康复科的医院中的当前实施状况。71名康复专业人员填写了一份关于体育与身体活动（包括刺激活动）如何融入康复护理的问卷。计算每个机构的总保真度得分（百分比）。专业人员的满意度从1到10进行评分。
在大多数机构中，体育与身体活动在康复期间和康复后都在一定程度上得到了整合（保真度得分：中位数 = 54%，四分位距 = 23%）。身体活动刺激并不总是作为康复治疗的标准组成部分。专业人员的满意度中位数为8.0（四分位距 = 0.0），表明满意度较高。
保真度结果表明，在康复期间和康复后刺激体育与身体活动的活动已融入康复护理，但并非总是作为标准化组成部分提供。这些发现强调了将这些活动融入机构日常工作的重要性。对康复的启示 一个基于证据的计划的组成部分，用于在康复期间和康复后刺激体育与身体活动，可用于以结构化和有效的方式衡量体育与身体活动在康复护理中的整合现状。本研究中描述的方法可用于在国家和国际层面比较各机构在体育与身体活动整合方面的康复护理内容。在荷兰，体育与身体活动被视为成功康复护理的重要因素。
