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脑卒中后住院期间早期开展作业疗法干预。

Early Occupational Therapy Intervention in the Hospital Discharge after Stroke.

机构信息

Faculty of Medicine, University of Málaga, 29010 Málaga, Spain.

Occupational Therapy Department, Hospital Marítimo, Servicio Andaluz de Salud (SAS), 29620 Málaga, Spain.

出版信息

Int J Environ Res Public Health. 2021 Dec 7;18(24):12877. doi: 10.3390/ijerph182412877.

DOI:10.3390/ijerph182412877
PMID:34948486
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8700854/
Abstract

Stroke is the leading cause of acquired disability in adults which is a cerebrovascular disease of great impact in health and social terms, not only due to its prevalence and incidence but also because of its significant consequences in terms of patient dependence and its consequent impact on the patient and family lives. The general objective of this study is to determine whether an early occupational therapy intervention at hospital discharge after suffering a stroke has a positive effect on the functional independence of the patient three months after discharge-the patient's level of independence being the main focus of this research. Data will be collected on readmissions to hospitals, mortality, returns to work and returns to driving, as well as an economic health analysis. This is a prospective, randomized, controlled clinical trial. The sample size will be made up of 60 patients who suffered a stroke and were discharged from the neurology unit of a second-level hospital in west Malaga (Spain), who were then referred to the rehabilitation service by the joint decision of the neurology and rehabilitation department. The patients and caregivers assigned to the experimental group were included in an early occupational therapy intervention program and compared with a control group that receives usual care.

摘要

中风是成年人后天残疾的主要原因,是一种对健康和社会具有重大影响的脑血管疾病,不仅因为其普遍性和发病率,还因为它对患者依赖的严重后果,以及对患者和家庭生活的影响。本研究的总体目标是确定在中风后出院时早期进行职业治疗干预是否对出院后三个月患者的功能独立性有积极影响——患者的独立性水平是本研究的主要关注点。将收集有关再次住院、死亡率、重返工作和重返驾驶的信息,以及进行经济健康分析。这是一项前瞻性、随机、对照临床试验。样本量由 60 名中风后从马拉加(西班牙)二级医院神经科出院的患者组成,然后由神经科和康复科联合决定将他们转介到康复科。实验组的患者和护理人员被纳入早期职业治疗干预计划,并与接受常规护理的对照组进行比较。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0703/8700854/ec1fd01445a3/ijerph-18-12877-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0703/8700854/ec1fd01445a3/ijerph-18-12877-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0703/8700854/ec1fd01445a3/ijerph-18-12877-g001.jpg

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本文引用的文献

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Occupational Therapy Practice Framework: Domain and Process-Fourth Edition.《作业治疗实践框架:领域与过程》第四版。
Am J Occup Ther. 2020 Aug 1;74(Supplement_2):7412410010p1-7412410010p87. doi: 10.5014/ajot.2020.74S2001.
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Pre-Stroke Statin Therapy Improves In-Hospital Prognosis Following Acute Ischemic Stroke Associated with Well-Controlled Nonvalvular Atrial Fibrillation.卒中前他汀类药物治疗可改善急性缺血性卒中合并控制良好的非瓣膜性心房颤动患者的院内预后。
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Feasibility of a Nurse-Trained, Family Member-Delivered Rehabilitation Model for Disabled Stroke Patients in Rural Chongqing, China.
改善哈萨克斯坦急性脑循环障碍的多学科医院护理。
Heliyon. 2023 Aug 1;9(8):e18435. doi: 10.1016/j.heliyon.2023.e18435. eCollection 2023 Aug.
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[Occupational Therapy intervention after a cerebrovascular accident: case report.].[脑血管意外后的职业治疗干预:病例报告。]
Rev Fac Cien Med Univ Nac Cordoba. 2023 Jun 30;80(2):153-155. doi: 10.31053/1853.0605.v80.n2.40202.
中国重庆农村地区经护士培训的家庭成员为残疾脑卒中患者提供康复模式的可行性。
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4
Collaborative Care Model Based Telerehabilitation Exercise Training Program for Acute Stroke Patients in China: A Randomized Controlled Trial.基于协作式照护模式的中国急性脑卒中患者远程康复运动训练方案:一项随机对照试验。
J Stroke Cerebrovasc Dis. 2020 Dec;29(12):105328. doi: 10.1016/j.jstrokecerebrovasdis.2020.105328. Epub 2020 Sep 29.
5
Impact of Instrumental Activities of Daily Living Limitations on Hospital Readmission: an Observational Study Using Machine Learning.日常生活工具性活动受限对医院再入院的影响:一项使用机器学习的观察性研究
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6
Does upper limb strength play a prominent role in health-related quality of life in stroke patients discharged from inpatient rehabilitation?上肢力量在住院康复出院的脑卒中患者的健康相关生活质量中起重要作用吗?
Top Stroke Rehabil. 2020 Oct;27(7):525-533. doi: 10.1080/10749357.2020.1738662. Epub 2020 Mar 9.
7
Gothenburg Very Early Supported Discharge study (GOTVED): a randomised controlled trial investigating anxiety and overall disability in the first year after stroke.哥德堡早期支持出院研究(GOTVED):一项在卒中后第一年评估焦虑和总体残疾的随机对照试验
BMC Neurol. 2019 Nov 9;19(1):277. doi: 10.1186/s12883-019-1503-3.
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Caregiver-Delivered Stroke Rehabilitation in Rural China.农村地区由照料者实施的脑卒中康复治疗。
Stroke. 2019 Jul;50(7):1825-1830. doi: 10.1161/STROKEAHA.118.021558. Epub 2019 Jun 10.
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