Department of Occupational Therapy, Monash University, 47-49 Moorooduc Road, Frankston, VIC, 3199, Australia.
Monash Department of Clinical Epidemiology, Cabrini Institute, 4 Drysdale St, Malvern, VIC, 3144, Australia.
Spinal Cord. 2020 May;58(5):528-536. doi: 10.1038/s41393-019-0394-x. Epub 2019 Dec 11.
Qualitative study using semi-structured interviews.
To describe and compare models of service delivery intended to support community integration in the immediate period following inpatient rehabilitation for SCI, and describe the characteristics of these models or approaches.
Spinal services from multiple international countries METHODS: Semi-structured interviews were completed with 12 participants from a convenience sample of ten spinal services from developed economies. Interviews were audio-recorded, transcribed verbatim and thematically analysed.
Three themes were identified, and are described with supporting quotations. These are: Theme One-Models of service delivery (sub-themes: staffing, peer mentors, facilitating community integration during inpatient rehabilitation; Theme Two-Services provided (sub-themes: telehealth, vocational services, groups); Theme Three-Facilitating self-efficacy and self-management.
A variety of models aimed at supporting community integration in the immediate period following inpatient rehabilitation for SCI were found. Multi-disciplinary staffing and involvement of peer mentors was common to all services. The importance of vocational rehabilitation was acknowledged by all participants, although the approaches taken to this varied. Telehealth has the potential to assist in self-management, particularly for patients who live a long distance from the spinal unit or are confined to the home for health reasons, and could be further developed. Although service models are greatly influenced by the funding context, the findings from this study can be used to inform service planning in this area.
采用半结构化访谈的定性研究。
描述和比较旨在支持 SCI 住院康复后即刻社区融入的服务提供模式，并描述这些模式或方法的特点。
来自多个国际国家的脊柱服务
对来自发达经济体的十个脊柱服务中的 12 名参与者进行了方便样本的半结构化访谈。访谈进行了录音、逐字转录和主题分析。
确定了三个主题，并附有支持性引述进行描述。这些是：主题一-服务提供模式（子主题：人员配备、同伴导师、在住院康复期间促进社区融入；主题二-提供的服务（子主题：远程医疗、职业服务、小组）；主题三-促进自我效能和自我管理。
发现了各种旨在支持 SCI 住院康复后即刻社区融入的模式。所有服务都普遍采用多学科人员配备和同伴导师的参与。所有参与者都承认职业康复的重要性，尽管采取的方法有所不同。远程医疗有可能有助于自我管理，特别是对于那些距离脊柱单位很远或因健康原因只能呆在家里的患者，并且可以进一步发展。尽管服务模式受到资金背景的极大影响，但本研究的结果可用于为该领域的服务规划提供信息。
