Lincoln N B, Willis D, Philips S A, Juby L C, Berman P
Stroke Research Unit, City Hospital, Nottingham, UK.
Stroke. 1996 Jan;27(1):18-23. doi: 10.1161/01.str.27.1.18.
The aim of the study was to observe patients on a stroke unit and to compare their activity with that of patients on conventional hospital wards to identify aspects of rehabilitation practice that might account for differences in outcome.
Stroke patients admitted to the hospital were observed on three 8-hour shifts over 3 consecutive days. An observer recorded, at 10-minute intervals, where patients were, what they were doing, and whether their positioning was as recommended by rehabilitation therapists. Patients on a stroke unit were compared with those on conventional wards.
Stroke unit patients spent less time by their beds and more time in other locations on the ward (P < .001). There were significant differences in the frequency of behaviors observed in the two types of ward (P < .001). Stroke unit patients had significantly more interaction with nurses and therapists (P < .001). They were also more often in the recommended position (P < .001).
The proportion of time in therapeutic activity was low in all locations, with patients spending many hours sitting and doing nothing. Despite this, stroke unit patients had more therapeutic contact with staff and were more often in the recommended position. These two features may account for some of the differences in outcome.
本研究旨在观察卒中单元的患者，并将他们的活动情况与传统医院病房的患者进行比较，以确定康复实践中可能导致预后差异的方面。
连续3天，对入院的卒中患者进行3个8小时轮班的观察。一名观察者每隔10分钟记录患者所在位置、正在做什么以及他们的体位是否符合康复治疗师的建议。将卒中单元的患者与传统病房的患者进行比较。
卒中单元的患者在床边停留的时间较少，而在病房其他区域的时间较多（P <.001）。在两种类型的病房中观察到的行为频率存在显著差异（P <.001）。卒中单元的患者与护士和治疗师的互动明显更多（P <.001）。他们也更常处于建议的体位（P <.001）。
在所有区域，治疗活动时间的占比都很低，患者花费数小时坐着无所事事。尽管如此，卒中单元的患者与医护人员有更多的治疗接触，并且更常处于建议的体位。这两个特征可能是导致预后差异的部分原因。
