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家庭照顾者对髋部骨折老年人远程康复的体验

Family Caregivers' Experiences with Tele-Rehabilitation for Older Adults with Hip Fracture.

作者信息

Ariza-Vega Patrocinio, Prieto-Moreno Rafael, Castillo-Pérez Herminia, Martínez-Ruiz Virginia, Romero-Ayuso Dulce, Ashe Maureen C

机构信息

Department of Physiotherapy, University of Granada, 18016 Granada, Spain.

Physical Medicine and Rehabilitation Service, Biohealth Research Institute, Virgen de las Nieves University Hospital, 18012 Granada, Spain.

出版信息

J Clin Med. 2021 Dec 13;10(24):5850. doi: 10.3390/jcm10245850.

Abstract

BACKGROUND

There is a knowledge gap for implementing tele-rehabilitation (telerehab) after hip fracture. We recently conducted a clinical trial (ClinicalTrials.gov Identifier: NCT02968589) to test a novel online family caregiver-supported rehabilitation program for older adults with hip fracture, called @ctivehip. In this qualitative substudy, our objective was to use semi-structured interviews to explore family caregivers experience with the telerehab program.

METHODS

Twenty-one family caregivers were interviewed between three and six months after the older adults completed @ctivehip. One occupational therapist with research and clinical experience, but not involved in the main trial, conducted and transcribed the interviews. We conducted a multi-step content analysis, and two authors completed one coding cycle and two recoding cycles.

RESULTS

Family caregivers who enrolled in @ctivehip were satisfied with the program, stated it was manageable to use, and perceived benefits for older adults' functional recovery after hip fracture. They also suggested improvements for the program content, such as more variety with exercises, and increased monitoring by health professionals.

CONCLUSIONS

This work extends existing literature and generates research hypotheses for future studies to test telerehab content and program implementation.

摘要

背景

髋部骨折后实施远程康复存在知识空白。我们最近开展了一项临床试验(ClinicalTrials.gov标识符:NCT02968589),以测试一种名为@ctivehip的新型在线家庭照护者支持的髋部骨折老年人康复项目。在这项定性子研究中,我们的目的是通过半结构化访谈来探究家庭照护者对远程康复项目的体验。

方法

在老年人完成@ctivehip项目三至六个月后,对21名家庭照护者进行了访谈。由一名具有研究和临床经验但未参与主要试验的职业治疗师进行访谈并转录。我们进行了多步骤内容分析,两名作者完成了一个编码周期和两个重新编码周期。

结果

参与@ctivehip项目的家庭照护者对该项目感到满意,称其使用起来易于管理,并认为对髋部骨折老年人的功能恢复有益。他们还对项目内容提出了改进建议,比如增加锻炼的多样性,以及加强医护人员的监测。

结论

这项工作扩展了现有文献,并为未来研究测试远程康复内容和项目实施产生了研究假设。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8347/8708159/093baa446945/jcm-10-05850-g0A1.jpg

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