D'Souza Sarah, Hersh Deborah, Godecke Erin, Ciccone Natalie, Janssen Heidi, Armstrong Elizabeth
School of Medical and Health Sciences, Edith Cowan University, Perth, Australia.
Centre for Aphasia Recovery and Rehabilitation Research, La Trobe University, Melbourne, Australia.
Disabil Rehabil. 2022 Oct;44(21):6304-6313. doi: 10.1080/09638288.2021.1965226. Epub 2021 Nov 15.
Patients in hospital following stroke express a desire to continue therapy tasks outside of treatment activities. However, they commonly describe experiences of boredom and inactivity. An enriched environment aims to provide opportunities for physical, cognitive and social activity and informed the development of a Communication Enhanced Environment (CEE) model to promote patient engagement in language activities.
Explore patient perceptions of a CEE model, and barriers and facilitators to engagement in the model.
A qualitative description study from a larger project that implemented a CEE model into acute and rehabilitation private hospital wards in Western Australia. Semi-structured interviews were conducted with seven patients, including four with aphasia, within 22 days post-stroke who had access to the CEE model.
Patients described variable experiences accessing different elements of the CEE model which were influenced by individual patient factors, staff factors, hospital features as well as staff time pressures. Those who were able to access elements of the CEE model described positive opportunities for engagement in language activities.
While findings are encouraging, further exploration of the feasibility of a CEE model in this complex setting is indicated to inform the development of this intervention.Implications for rehabilitationPatient access to a CEE model is challenging in a hospital setting.Patients who were able to access elements of the CEE model described positive opportunities for engagement in language activities.Patients' access to the CEE model was influenced by patient factors, staff factors, hospital features as well as staff time pressures.
中风后住院的患者表示希望在治疗活动之外继续进行治疗任务。然而，他们通常描述了无聊和无所事事的经历。丰富的环境旨在提供身体、认知和社交活动的机会，并为促进患者参与语言活动的沟通增强环境（CEE）模型的开发提供了依据。
探讨患者对CEE模型的看法，以及参与该模型的障碍和促进因素。
一项定性描述性研究，来自一个更大的项目，该项目在西澳大利亚的急性和康复私立医院病房中实施了CEE模型。对7名患者进行了半结构化访谈，其中包括4名失语症患者，这些患者在中风后22天内能够使用CEE模型。
患者描述了使用CEE模型不同元素的不同体验，这些体验受到个体患者因素、工作人员因素、医院特征以及工作人员时间压力的影响。那些能够使用CEE模型元素的患者描述了参与语言活动的积极机会。
虽然研究结果令人鼓舞，但仍需进一步探索CEE模型在这种复杂环境中的可行性，以为该干预措施的开发提供参考。对康复的启示在医院环境中，患者使用CEE模型具有挑战性。那些能够使用CEE模型元素的患者描述了参与语言活动的积极机会。患者使用CEE模型受到患者因素、工作人员因素、医院特征以及工作人员时间压力的影响。
