Flinders Health and Medical Research Institute, Flinders University, Adelaide, SA, Australia.
Flinders Medical Centre, Rehabilitation and Palliative Services, Adelaide, SA, Australia.
Disabil Rehabil. 2022 Jul;44(15):3982-3991. doi: 10.1080/09638288.2021.1897693. Epub 2021 Mar 17.
Guidelines recommend that carers of stroke survivors should be engaged early in rehabilitation. There has been limited research implementing exercise programs that include carers. The aims of this study were to develop, facilitate, and evaluate an intervention, the Carers Count group, an exercise-based group for stroke survivors and their carers.
Over a 5-month period, a staged approach was used to design the intervention and implementation strategies which would maximise the chances of embedding the intervention within an inpatient stroke ward. Implementation strategies included planning, educating, restructuring, financing, and managing quality. Following development and facilitation of the intervention, outcomes were evaluated through collecting data about therapy time, surveys ( = 30) and interviews ( = 18) with participants, and a focus group with staff.
Thirty stroke survivors and their carers participated in the Carers Count group. Analysis of time spent in therapy showed that participation led to increased dose of physiotherapy time (service outcome). Survey and interview data suggested that participation in the group was a rewarding and engaging experience for participants (client outcomes).
Using multifaceted strategies, a group designed to include carers was implemented on a stroke rehabilitation ward. The intervention provided positive outcomes in terms of increased therapy dose and satisfaction according to participant feedback.
ANZCTR12620000708954Implications for rehabilitationIt is possible to develop modes of delivery in rehabilitation that include the carers of stroke survivors and these interventions are considered enjoyable and beneficial.Health professionals should consider interventions that are engaging and fun for stroke survivors and their carers.Health professionals should carefully plan and utilise appropriate implementation strategies when aiming to introduce a new intervention into an established health service.Health professionals should ensure stroke survivors and their carers have an understanding of recovery following stroke and how to maximise outcomes through increasing amount of practice.
指南建议脑卒中幸存者的护理人员应尽早参与康复治疗。但将护理人员纳入其中的运动方案研究有限。本研究旨在制定、促进和评估一种干预措施，即“Caregivers Count”小组，这是一种针对脑卒中幸存者及其护理人员的基于运动的小组。
在 5 个月的时间里，采用分阶段的方法来设计干预措施和实施策略，以最大程度地提高将干预措施嵌入住院脑卒中病房的机会。实施策略包括计划、教育、重构、融资和管理质量。在干预措施的制定和促进之后，通过收集有关治疗时间的数据、对参与者进行调查（=30）和访谈（=18）以及与工作人员进行焦点小组讨论，对结果进行了评估。
30 名脑卒中幸存者及其护理人员参加了“Caregivers Count”小组。对治疗时间的分析表明，参与导致物理治疗时间增加（服务结果）。调查和访谈数据表明，小组参与对参与者来说是一种有益和引人入胜的体验（客户结果）。
使用多方面的策略，在脑卒中康复病房实施了一项旨在纳入护理人员的小组。根据参与者的反馈，该干预措施在增加治疗剂量和满意度方面提供了积极的结果。
ANZCTR12620000708954
有可能在康复中开发出包括脑卒中幸存者护理人员在内的服务模式，这些干预措施被认为是愉快和有益的。健康专业人员应考虑针对脑卒中幸存者及其护理人员的参与性和趣味性干预措施。健康专业人员在旨在将新干预措施引入既定卫生服务机构时，应仔细计划并利用适当的实施策略。健康专业人员应确保脑卒中幸存者及其护理人员了解脑卒中后的恢复情况，以及如何通过增加练习量来最大限度地提高结果。
