Department of Health Sciences, IMC University of Applied Sciences, Applied Health Sciences Master Degree Programme, Piaristengasse 1, 3500, Krems, Austria.
IMC University of Applied Sciences, Josef Ressel Centre for Horizons of personalised music therapy, University of Applied Sciences Krems, Piaristengasse 1, 3500, Krems, Austria.
BMC Health Serv Res. 2022 Mar 21;22(1):372. doi: 10.1186/s12913-022-07755-3.
Research on the optimal period for administering health services, especially rehabilitation interventions, is scarce. The aims of this study were to explore the construct of patients' convenient therapy periods and to identify indicators based on the perspectives of patients and different health professionals from inpatient neurological rehabilitation clinics.
This study was part of a larger project on patients' convenient therapy periods following a mixed methods approach. In the current study a grounded theory approach was employed based on the use of focus group interviews. Focus group interviews were conducted in three different inpatient neurological rehabilitation clinics. Patients and therapists from inpatient neurological rehabilitation clinics who were able to speak and to participate in conversations were included.
A total of 41 persons, including 23 patients and 18 therapists, such as music and occupational therapists, participated in a total of six focus group interviews. The analysis of the focus group interviews resulted in the identification of a total of 1261 codes, which could be summarised in fifteen categories. However, these categories could be divided into five indicators and ten impact factors of convenient therapy periods. Identified indicators were verbal and non-verbal communication, mental functions, physiological needs, recreational needs, and therapy initiation.
The results provide initial evidence that convenient therapy periods are clinically relevant for patients and therapists. Different states of patients' ability to effectively participate in a rehabilitation intervention exist. A systematic consideration of patients' convenient therapy periods could contribute to a personalised and more efficient delivery of intervention in neurological rehabilitation. To our knowledge, this study is one of the first attempts to research convenient therapy periods.
针对卫生服务(尤其是康复干预)的最佳时期的研究相对较少。本研究旨在探讨患者方便治疗期的结构,并从住院神经康复诊所的患者和不同卫生专业人员的角度确定指标。
本研究是一项关于患者方便治疗期的更大项目的一部分,采用混合方法进行。在当前研究中,采用基于焦点小组访谈的扎根理论方法。在三个不同的住院神经康复诊所进行了焦点小组访谈。纳入了能够进行言语交流并愿意参与讨论的住院神经康复诊所的患者和治疗师。
共有 41 人,包括 23 名患者和 18 名治疗师,如音乐治疗师和职业治疗师,参加了总共 6 次焦点小组访谈。焦点小组访谈的分析产生了总共 1261 个代码,可以总结为 15 个类别。然而,这些类别可以分为五个指标和十个方便治疗期的影响因素。确定的指标包括言语和非言语交流、心理功能、生理需求、娱乐需求和治疗启动。
研究结果初步表明,方便治疗期对患者和治疗师具有临床意义。患者有效参与康复干预的能力存在不同的状态。系统考虑患者的方便治疗期有助于在神经康复中提供个性化和更高效的干预措施。据我们所知,这项研究是首次尝试研究方便治疗期的研究之一。