Department of Physiotherapy Education, University College Southern Denmark, Esbjerg, Denmark.
Research Unit in Rehabilitation Institute of Clinical Research University of Southern Denmark, Odense, Denmark.
PLoS One. 2020 Aug 28;15(8):e0236831. doi: 10.1371/journal.pone.0236831. eCollection 2020.
The aim of this study was to explore the current and potential use of information and communication technology (ICT) to enhance coherent person-centred rehabilitation after stroke, from the perspectives of physiotherapists and occupational therapists.
Five occupational therapists and four physiotherapists from different phases of the Danish stroke rehabilitation process were included and two focus group interviews were carried out. A grounded theory approach was used throughout the study and a constant comparative method was used in the analysis.
Three subcategories were identified from the analysis of interviews with participants: 1) ICT and apps as meaningful and supportive in the rehabilitation process, 2) ICT as a tool in communication and documentation and 3) Barriers to the integration of ICT and apps in the rehabilitation process. From these categories one core category emerged: The potential of a personalized app solution to facilitate coherent person-centred rehabilitation.
ICT was perceived as important to integrate in stroke rehabilitation both for assessment, training and to compensate for remaining deficits. The development of a personalized app solution could accommodate stroke survivors' and significant others' need for insight into and overview over the rehabilitation process as well as access to relevant information, which would thereby empower them. Furthermore, a personalized app solution could also facilitate follow-up after discharge and was perceived to ease the communication and documentation within and between sectors, as well as communication with both stroke survivors and significant others.
本研究旨在探讨从物理治疗师和职业治疗师的角度出发，当前和潜在使用信息和通信技术（ICT）来增强中风后连贯的以患者为中心的康复。
纳入了来自丹麦中风康复过程不同阶段的 5 名职业治疗师和 4 名物理治疗师，并进行了 2 次焦点小组访谈。本研究全程采用扎根理论方法，并在分析中使用了恒比法。
从对参与者的访谈分析中确定了 3 个亚类：1）ICT 和应用程序在康复过程中有意义且具有支持性，2）ICT 作为沟通和文件记录的工具，3）将 ICT 和应用程序整合到康复过程中的障碍。从这些类别中出现了一个核心类别：个性化应用解决方案促进连贯的以患者为中心的康复的潜力。
ICT 被认为是整合到中风康复中的重要手段，无论是用于评估、训练还是弥补遗留的缺陷。个性化应用解决方案的开发可以满足中风幸存者及其重要他人对深入了解和全面了解康复过程以及获取相关信息的需求，从而赋予他们权力。此外，个性化应用解决方案还可以促进出院后的随访，并被认为可以简化部门内部和部门之间的沟通和文件记录，以及与中风幸存者和重要他人的沟通。
