ARCH, La Trobe University, Melbourne, Victoria, Australia.
Department of Physiotherapy, Monash University, Clayton, Victoria, Australia.
BMJ Open. 2022 Nov 4;12(11):e068241. doi: 10.1136/bmjopen-2022-068241.
Codesign strengthens partnerships between healthcare workers and patients. It also facilitates collaborations supporting the development, design and delivery of healthcare services. Prior rehabilitation reviews have focused mainly on the clinical and organisational outcomes of codesign with less focus on the lived experience of rehabilitation patients.
To explore patient experiences of codesigned hospital rehabilitation interventions.
Rapid review and evidence synthesis of the literature.
CINAHL, MEDLINE, Embase and Cochrane were searched from 1 January 2000 to 25 April 2022.
Studies reporting patient experiences of codesigned rehabilitation interventions in hospitals.
4156 studies were screened, and 38 full-text studies were assessed for eligibility. Seven studies were included in the final rapid review. Five out of the seven studies involved neurological rehabilitation. All eligible studies used qualitative research methods. The main barriers to codesign were related to staffing and dedicated time allocated to face-to-face patient-therapist interactions. High-quality relationships between patients and their therapists were a facilitator of codesign. Thematic synthesis revealed that codesigned rehabilitation interventions can enable a meaningful experience for patients and facilitate tailoring of treatments to align with individual needs. Personalised rehabilitation increases patient involvement in rehabilitation planning, delivery and decision-making. It also promotes positive feelings of empowerment and hope.
This rapid review supports the implementation of codesigned rehabilitation interventions to improve patient experiences in hospitals.
CRD42021264547.
共同设计加强了医护人员与患者之间的伙伴关系。它还有利于支持医疗服务的开发、设计和提供的合作。先前的康复审查主要集中在共同设计的临床和组织结果上，而对康复患者的生活体验关注较少。
探索患者对共同设计的医院康复干预的体验。
对文献进行快速审查和综合分析。
从 2000 年 1 月 1 日至 2022 年 4 月 25 日，检索了 CINAHL、MEDLINE、Embase 和 Cochrane。
报告患者对医院共同设计康复干预的体验的研究。
筛选了 4156 项研究，并对 38 篇全文研究进行了资格评估。最终快速审查纳入了 7 项研究。其中 5 项研究涉及神经康复。所有合格的研究都使用了定性研究方法。共同设计的主要障碍与人员配备和专门用于面对面医患互动的时间有关。患者与其治疗师之间的高质量关系是共同设计的促进因素。主题综合揭示了共同设计的康复干预措施可以为患者提供有意义的体验，并有助于根据个人需求调整治疗方法。个性化康复增加了患者对康复计划、治疗和决策的参与。它还促进了积极的赋权和希望感。
这项快速审查支持实施共同设计的康复干预措施，以改善医院患者的体验。
PROSPERO 注册号：CRD42021264547。
