Walsh K J, Barnes M P, McLellan D L
University Rehabilitation Unit, Southampton, General Hospital.
BMJ. 1988 Nov 12;297(6658):1252-6. doi: 10.1136/bmj.297.6658.1252.
The experience of the first three years' work on a ward for the rehabilitation of patients was reviewed. Adults with physical disabilities or mixed physical and psychological disabilities, including unstable or deteriorating conditions, were accepted for intensive rehabilitation. Most patients had neurological disorders. The ward policy was that each patient had considerable time with the therapist, maximum personal independence was encouraged, and multidisciplinary staff meetings were held to agree the goals of treatment. Much effort was spent helping patients and relatives to adapt to conditions of progressive disability, but the response to questionnaires suggested that these patients as well as those who did improve received some benefit from being on the ward. Overall the benefits of the intensive rehabilitation that was offered on this ward outweighed those from short stays on medical wards.
回顾了在一个患者康复病房头三年的工作经历。接收患有身体残疾或身体与心理混合残疾的成年人进行强化康复治疗，包括病情不稳定或恶化的患者。大多数患者患有神经疾病。病房的政策是，每位患者都有相当多的时间与治疗师相处，鼓励最大限度的个人独立，并召开多学科工作人员会议以商定治疗目标。花费了大量精力帮助患者及其亲属适应逐渐残疾的状况，但问卷调查的反馈表明，这些患者以及病情有所改善的患者都从在病房接受治疗中获得了一些益处。总体而言，该病房提供的强化康复治疗的益处超过了在医疗病房短期住院的益处。
