确定从跨专业协作中受益的中风患者的特征。

Identifying characteristics of stroke patients benefiting from interprofessional collaboration.

作者信息

Ikeda Kohei, Sasada Satoshi

机构信息

Department of Health & Social Work, School of Rehabilitation, Div. Occupational Therapy, Kanagawa University of Human Services, Yokosuka, Kanagawa, Japan.

出版信息

Br J Occup Ther. 2024 Jul;87(7):443-451. doi: 10.1177/03080226241233127. Epub 2024 Mar 18.

Abstract

INTRODUCTION

This study identifies the patient population that may benefit from interprofessional collaboration in the support of patients with cerebrovascular diseases.

METHOD

This study involved 170 patients who received treatment in Japan's recovery rehabilitation wards in December 2019-June 2020. Participants were categorized into three groups based on their functional independence measure (FIM) scores at admission, distinguishing between complete dependence, modified dependence, and independence groups. They were classified into the group with higher collaborative practice (HCP) and the group with lower collaborative practice (LCP) based on the median value of the therapist collaborative practice scale (TCPS). The primary outcomes measured were FIM efficiency and FIM effectiveness. The main effects and interactions of the level of independence with activities of daily living (ADL) and collaboration were examined using a two-way analysis of variance and Bonferroni multiple comparison tests.

RESULTS

The level of independence with ADL and collaboration had an interaction effect related to FIM effectiveness ((2, 164) = 3.191,  = 0.044). Within the independence group, HCP and LCP differed significantly ((1, 164) = 15.562,  < 0.001).

CONCLUSION

Interprofessional collaboration may improve ADL in patients with high ADL independence at admission. Furthermore, the interprofessional collaboration quality impacted patients' ADL improvement.

摘要

引言

本研究确定了可能从跨专业协作中受益的患者群体,这种协作旨在为脑血管疾病患者提供支持。

方法

本研究纳入了2019年12月至2020年6月期间在日本康复病房接受治疗的170名患者。根据患者入院时的功能独立性测量(FIM)得分,将参与者分为三组,分别为完全依赖组、部分依赖组和独立组。根据治疗师协作实践量表(TCPS)的中位数,将他们分为协作实践水平较高(HCP)组和协作实践水平较低(LCP)组。测量的主要结果是FIM效率和FIM有效性。使用双向方差分析和Bonferroni多重比较检验来检验日常生活活动(ADL)独立性水平与协作之间的主要效应和相互作用。

结果

ADL独立性水平与协作对FIM有效性有交互作用((2, 164) = 3.191,  = 0.044)。在独立组中,HCP组和LCP组有显著差异((1, 164) = 15.562,  < 0.001)。

结论

跨专业协作可能会改善入院时ADL独立性较高的患者的ADL。此外,跨专业协作质量会影响患者ADL的改善情况。

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