康复环境中与身体活动相关的员工知识、态度和行为：多学科调查的简要报告。
Staff knowledge, attitudes and behaviours related to mobilisation in a rehabilitation setting: Short report of a multidisciplinary survey.
机构信息
Internal Medicine Research Unit, Royal Brisbane and Women's Hospital, Brisbane, Qld, Australia.
Brighton Health Campus, Brisbane, Qld, Australia.
出版信息
Australas J Ageing. 2020 Sep;39(3):225-229. doi: 10.1111/ajag.12793. Epub 2020 Apr 12.
OBJECTIVES
Regular mobilising is important in inpatient rehabilitation, but objective measurements show low patient mobility. We sought to understand multidisciplinary staff perspectives on barriers and enablers to mobility in a rehabilitation setting.
METHODS
A validated barriers survey (standardised score 0-100, higher representing greater barriers) was distributed to 99 clinical staff on two wards at a single rehabilitation facility.
RESULTS
The survey was completed by 83 staff (52 nurses, 25 allied health professionals, 4 therapy assistants and 2 medical officers) and identified barriers in behaviour (mean 39, SD 11), attitudes (mean 34, SD 12) and knowledge (mean 23, SD 18). Prominent perceived barriers were nursing workload, unclear responsibility for mobilising, risk of staff injury, patient motivation and family participation; perceived enablers were good knowledge, positive outcome expectations and team communication.
CONCLUSIONS
These barriers can inform locally tailored strategies to improve rehabilitation patient mobility.
目的
在住院康复中，定期活动很重要，但客观测量显示患者的活动度较低。我们试图了解多学科工作人员对康复环境中活动障碍和促进因素的看法。
方法
向一家康复机构的两个病房的 99 名临床工作人员发放了经过验证的障碍调查（标准化评分 0-100，得分越高表示障碍越大）。
结果
该调查由 83 名工作人员（52 名护士、25 名辅助医疗专业人员、4 名治疗助理和 2 名医生）完成，发现行为（平均 39，SD11）、态度（平均 34，SD12）和知识（平均 23，SD18）方面存在障碍。人们认为突出的障碍包括护理工作量大、不清楚谁负责活动、工作人员受伤风险、患者积极性和家属参与度；认为有利的因素包括知识丰富、对积极结果的期望和团队沟通。
结论
这些障碍可以为改善康复患者的活动度提供有针对性的策略。
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