Jung Jae Hyu, Kang Ji-Young, Ko Chang-Hee, Ko Jin Young, Lim Jae Young
Department of Rehabilitation, Gyeonggi Provincial Medical Center, Anseong, Korea.
Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
Ann Geriatr Med Res. 2021 Dec;25(4):301-308. doi: 10.4235/agmr.21.0085. Epub 2021 Nov 23.
To improve the rehabilitation team's awareness of patient mobility and participation by enhancing communication between therapists and nurses and conducting patient education.
This study used a non-equivalent control group with a non-synchronized design. To facilitate communication between therapists and nurses, we used a manual for mobility management to improve the sharing of information on the functional status of patients. We also implemented patient education to improve their awareness of mobility and participation. Finally, we conducted newly devised surveys related to patient functional status and awareness that were applied by therapists and nurses.
The nurses reported significantly lower functional levels of patients compared to those assessed by therapists. After the intervention, the kappa values representing the concordance between therapists and nurses improved to almost perfect agreement for transfer ability (κ=0.836), mobility (κ=0.664), and toileting (κ=1.000). We also observed a statistically significant increase in questionnaire scores with respect to nurses' awareness (p<0.05).
Improving communication among the rehabilitation team, including nurses through the use of a continuous education program, was effective in promoting the mobility and functional level of patients in the inpatient ward.
通过加强治疗师与护士之间的沟通并开展患者教育，提高康复团队对患者活动能力和参与度的认识。
本研究采用非等效对照组和非同步设计。为促进治疗师与护士之间的沟通，我们使用了一份活动管理手册来改善患者功能状态信息的共享。我们还实施了患者教育以提高他们对活动能力和参与度的认识。最后，我们开展了由治疗师和护士应用的与患者功能状态和认识相关的新设计调查。
与治疗师评估的结果相比，护士报告的患者功能水平显著更低。干预后，代表治疗师与护士之间一致性的kappa值在转移能力（κ=0.836）、活动能力（κ=0.664）和如厕（κ=1.000）方面提高到几乎完全一致。我们还观察到护士认识方面的问卷得分有统计学意义的增加（p<0.05）。
通过使用持续教育项目改善包括护士在内的康复团队之间的沟通，对于促进住院病房患者的活动能力和功能水平是有效的。
