Oyake Kazuaki, Suzuki Makoto, Otaka Yohei, Tanaka Satoshi
Department of Physical Therapy, School of Health Sciences, Shinshu University, Nagano, Japan.
Faculty of Health Sciences, Tokyo Kasei University, Saitama, Japan.
Front Neurol. 2020 Jun 10;11:553. doi: 10.3389/fneur.2020.00553. eCollection 2020.
The addition of motivational strategies to a rehabilitation program is thought to enhance patient adherence and improve outcomes. However, little is known about how rehabilitation professionals motivate stroke patients during rehabilitation. The primary objective of this study was to provide a comprehensive and quantitative list of motivational strategies for stroke rehabilitation. In addition, we aimed to examine (1) whether professionals with more clinical experience used a higher number of motivational strategies, (2) the purpose for using each strategy, and (3) the information considered when choosing strategies. This descriptive, cross-sectional study was conducted using a web survey with a convenience sample of 407 rehabilitation professionals including physicians, nurses, physical therapists, occupational therapists, and speech-language-hearing therapists. We received data for 362 participants. Fifteen strategies were found to be used by more than 75% of the respondents to motivate their patients. Almost all of the respondents reported that they actively listened to and praised their patients to increase patient adherence to rehabilitation programs. Respondents with more clinical experience tended to use a higher number of motivational strategies (rho = 0.208, < 0.001). For 11 of the 15 strategies selected by more than 75% of the respondents, the highest percentage of respondents reported that they used the strategies to make rehabilitation worthwhile for their patients. The majority of respondents reported that they decided which motivational strategy to use by considering comprehensive information regarding the patient health condition, environmental factors, and personal factors. The comprehensive list of motivational strategies obtained may be useful for increasing patient adherence to rehabilitation, especially for professionals with less clinical experience. Furthermore, our findings regarding the purpose for using each strategy and the information considered when choose strategies might help rehabilitation professionals to optimally utilize the motivational strategy list.
在康复计划中加入激励策略被认为可以提高患者的依从性并改善康复效果。然而，对于康复专业人员在康复过程中如何激励中风患者，我们知之甚少。本研究的主要目的是提供一份全面且定量的中风康复激励策略清单。此外，我们旨在研究：（1）临床经验更丰富的专业人员是否使用更多的激励策略；（2）使用每种策略的目的；（3）选择策略时考虑的信息。这项描述性横断面研究通过网络调查进行，便利样本包括407名康复专业人员，如医生、护士、物理治疗师、职业治疗师和言语-听力治疗师。我们收到了362名参与者的数据。发现超过75%的受访者使用了15种策略来激励他们的患者。几乎所有受访者都表示，他们会积极倾听并赞扬患者，以提高患者对康复计划的依从性。临床经验更丰富的受访者倾向于使用更多的激励策略（rho = 0.208，< 0.001）。对于超过75%的受访者选择的15种策略中的11种，最高比例的受访者表示，他们使用这些策略是为了让患者觉得康复是有价值的。大多数受访者表示，他们通过考虑有关患者健康状况、环境因素和个人因素的全面信息来决定使用哪种激励策略。获得的激励策略综合清单可能有助于提高患者对康复的依从性，特别是对于临床经验较少的专业人员。此外，我们关于使用每种策略的目的以及选择策略时考虑的信息的研究结果可能有助于康复专业人员最佳地利用激励策略清单。
