Dawes Erinn, Bliokas Vida, Hewitt Lyndel, Wilson Val
School of Nursing, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia.
Illawarra Shoalhaven Local Health District, Port Kembla Hospital, Warrawong, NSW, Australia.
Disabil Rehabil. 2025 Jan;47(1):244-251. doi: 10.1080/09638288.2024.2346234. Epub 2024 May 8.
To explore the factors that influence clinicians (occupational therapists, physiotherapists, vascular surgeons, and rehabilitation medicine physicians) when prescribing prosthetic rehabilitation. Additionally, the study aimed to gain insight into clinicians' perspectives regarding the role of patient cognition in prosthetic rehabilitation.
This research constitutes one segment of a broader action research study which was undertaken in 2022. A total of thirty-four key clinicians involved in the amputation and prosthetic rehabilitation pathway within a local health district in Australia were engaged through a combination of group and individual interviews as well as surveys.
Five essential considerations when prescribing prosthetic rehabilitation emerged. These included patient's goals, medical history, quality of life, cognitive abilities, and the support available on discharge. This study also revealed variations in opinions among different disciplines concerning appropriateness of prosthetic rehabilitation for the patient cohort. Despite this, there was a desire to build a consensus around a shared approach of identification for patients and clinicians.
The identification of these key pillars for clinician consideration has simplified a complex area of care. These pillars could be used to guide pertinent conversations regarding prosthetic rehabilitation and are closely linked with the patient's cognition.
探讨在开具假肢康复处方时影响临床医生（职业治疗师、物理治疗师、血管外科医生和康复医学医生）的因素。此外，该研究旨在深入了解临床医生对患者认知在假肢康复中作用的看法。
本研究是2022年开展的一项更广泛的行动研究的一部分。通过小组访谈、个人访谈以及调查相结合的方式，邀请了澳大利亚一个当地卫生区参与截肢和假肢康复流程的34名关键临床医生参与。
确定了开具假肢康复处方时的五个基本考虑因素。这些因素包括患者的目标、病史、生活质量、认知能力以及出院后可获得的支持。该研究还揭示了不同学科对于该患者群体假肢康复适宜性的意见存在差异。尽管如此，大家希望围绕针对患者和临床医生的共同识别方法达成共识。
确定这些供临床医生考虑的关键支柱，简化了一个复杂的护理领域。这些支柱可用于指导有关假肢康复的相关讨论，并且与患者的认知密切相关。
