Department of Physical Therapy, University of Toronto, Toronto, Ontario, Canada.
Division of Physical Medicine and Rehabilitation, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Disabil Rehabil. 2024 Nov;46(22):5235-5242. doi: 10.1080/09638288.2023.2301477. Epub 2024 Jan 11.
To explore health care providers' (HCP) experiences related to transitions in care from inpatient rehabilitation to the community for patients with limb loss.
A qualitative study was conducted using semi-structured interviews. Participants were eligible if they were HCPs currently working in amputation rehabilitation at a rehabilitation hospital in Ontario, Canada, with at least 1-year experience in this setting, and could speak and understand English. Data were analyzed thematically using the six-step process of the DEPICT model dynamic reading, engaged codebook development, participatory coding, inclusive reviewing and summarizing of categories, collaborative analyzing and translating.
Fourteen HCPs from a variety of health care professions participated in this study. Five key themes describe participants' perspectives on the factors impacting patients' transition in care following limb loss. Specifically, participants emphasized patient preparedness, HCP follow-up, finances and funding, patient self-management skills, and psychosocial support as factors that could influence the transition in care.
This study identified challenges to transitions in care for people with limb loss. Future research is needed to evaluate solutions to address these challenges in transitions in care.
探索卫生保健提供者(HCP)在患者肢体丧失后从住院康复到社区的护理过渡方面的经验。
采用半结构式访谈进行定性研究。参与者如果是目前在加拿大安大略省一家康复医院从事截肢康复工作的 HCP,具有至少 1 年的相关工作经验,并且能够说和理解英语,则有资格参加。使用 DEPICT 模型的六个步骤(动态阅读、参与式编码本开发、参与式编码、类别包容性审查和总结、协作分析和翻译)对数据进行主题分析。
本研究共有来自各种医疗保健专业的 14 名 HCP 参与。五个关键主题描述了参与者对影响肢体丧失后患者护理过渡的因素的看法。具体而言,参与者强调了患者的准备情况、HCP 的随访、财务和资金、患者的自我管理技能以及心理社会支持是影响护理过渡的因素。
本研究确定了肢体丧失患者护理过渡的挑战。需要进一步研究评估解决护理过渡中这些挑战的解决方案。