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针对中风患者的、由视频和自动提醒支持的家庭锻炼计划:一项定性分析。

Home exercise programs supported by video and automated reminders for patients with stroke: A qualitative analysis.

作者信息

Emmerson Kellie B, Harding Katherine E, Lockwood Kylee J, Taylor Nicholas F

机构信息

School of Allied Health, La Trobe University, Bundoora, Victoria, Australia.

Peter James Centre-Eastern Health, Burwood East, Victoria, Australia.

出版信息

Aust Occup Ther J. 2018 Jun;65(3):187-197. doi: 10.1111/1440-1630.12461. Epub 2018 Mar 11.

DOI:10.1111/1440-1630.12461
PMID:29527686
Abstract

BACKGROUND

Allied health professionals working in rehabilitation often prescribe home exercise programs. Smart technology offers an alternative format for presentation of home exercise programs with potential advantages over traditional paper-based programs, but how do patients feel about this?

DESIGN

This qualitative analysis was part of a convergent mixed methods design, using in depth, semi-structured interviews to explore the lived experience of patients utilising touch screen tablets to support an upper limb home exercise program post stroke.

METHODS

Ten male participants with stroke and upper limb impairment who received home exercise programs using video and reminders on tablet computers participated. Interviews were transcribed and analysed thematically.

RESULTS

There were three main themes: (1) exercises on the tablet helped patients' recovery in a variety of ways; (2) everyone could use the tablet for their home exercise program; but (3) not everyone liked using the tablet.

CONCLUSIONS AND SIGNIFICANCE OF THE STUDY

Smart technology is increasingly accessible and provides a novel, convenient way to provide home exercise programs post stroke with a number of benefits. This technology is not for everyone, but may be well suited to patients who already own and use these devices in daily life. Automated reminders were not viewed as a useful reminder tool.

摘要

背景

从事康复工作的专职医疗人员经常会开出家庭锻炼计划。智能技术为家庭锻炼计划的呈现提供了一种替代形式,相较于传统的纸质计划可能具有潜在优势,但患者对此有何感受呢?

设计

这项定性分析是一项收敛性混合方法设计的一部分,采用深度半结构化访谈来探究患者使用触摸屏平板电脑支持中风后上肢家庭锻炼计划的实际体验。

方法

十名患有中风且上肢受损的男性参与者接受了使用平板电脑上的视频和提醒功能的家庭锻炼计划。访谈内容被转录并进行了主题分析。

结果

出现了三个主要主题:(1)平板电脑上的锻炼以多种方式帮助患者康复;(2)每个人都可以将平板电脑用于他们的家庭锻炼计划;但(3)并非每个人都喜欢使用平板电脑。

研究的结论与意义

智能技术越来越容易获取,并为中风后提供家庭锻炼计划提供了一种新颖、便捷的方式,具有诸多益处。这项技术并非适用于所有人,但可能非常适合那些在日常生活中已经拥有并使用这些设备的患者。自动提醒并未被视为一种有用的提醒工具。

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