Educating Families of Brain Injury Patients During Acute Rehabilitation: A Quality Improvement Project.

IF 2.2 4区 医学 Q1 REHABILITATION
Yi Zhou, Stacey Jou, Kathryn A Altonji, Hayk Petrosyan, Lei Lin, Brian D Greenwald
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Abstract

Abstract: Lack of information is cited as a source of distress for caregivers of patients with brain injury during the recovery process. This is a quality improvement project with the purpose of educating family members of brain injury patients about acute inpatient rehabilitation and providing a reliable source of information through the Model Systems Knowledge Translation Center Traumatic Brain Injury Model Systems Factsheets. The study was conducted in the brain injury unit of an acute inpatient rehabilitation facility and a total of 32 family members participated in the study. Educational sessions were provided verbally by phone based on the Model Systems Knowledge Translation Center-Traumatic Brain Injury Model Systems "Traumatic Brain Injury and Acute Inpatient Rehabilitation" Factsheet. Surveys with five confidence statements and Likert scale-graded responses were verbally administered by phone immediately before and after each educational session to evaluate for understanding. There was a statistically significant increase in confidence for all five confidence statements when comparing pre- and posteducation responses ( P < 0.05, Wilcoxon signed-rank test). This quality improvement project thereby presents an effective and feasible framework for teaching, improving communication, and providing valuable information to families early in the brain injury rehabilitation course.

在急性康复期间对脑损伤患者家属进行教育:质量改进项目。
摘要:在脑损伤患者的康复过程中,缺乏信息被认为是护理人员感到痛苦的原因之一。这是一个质量改进项目,目的是教育脑损伤患者的家庭成员了解急性住院康复,并通过示范系统知识转化中心(MSKTC)创伤性脑损伤示范系统(TBIMS)概况介绍提供可靠的信息来源。该研究在一家急性住院康复机构的脑损伤病房进行,共有 n = 32 名家庭成员参与研究。根据 MSKTC-TBIMS "创伤性脑损伤和急性住院康复 "概况介绍,通过电话提供了口头教育课程。在每次教育课程之前和之后,都会立即通过电话口头发放包含五项信心陈述和李克特量表分级回答的调查问卷,以评估理解程度。与教育前后的回答相比,所有五项信心陈述的信心都有明显提高(P < 0.05,Wilcoxon 签名秩检验)。因此,该质量改进项目提供了一个有效可行的框架,用于在脑损伤康复的早期阶段进行教学、改善沟通并为家庭提供有价值的信息。
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来源期刊
CiteScore
4.60
自引率
6.70%
发文量
423
审稿时长
1 months
期刊介绍: American Journal of Physical Medicine & Rehabilitation focuses on the practice, research and educational aspects of physical medicine and rehabilitation. Monthly issues keep physiatrists up-to-date on the optimal functional restoration of patients with disabilities, physical treatment of neuromuscular impairments, the development of new rehabilitative technologies, and the use of electrodiagnostic studies. The Journal publishes cutting-edge basic and clinical research, clinical case reports and in-depth topical reviews of interest to rehabilitation professionals. Topics include prevention, diagnosis, treatment, and rehabilitation of musculoskeletal conditions, brain injury, spinal cord injury, cardiopulmonary disease, trauma, acute and chronic pain, amputation, prosthetics and orthotics, mobility, gait, and pediatrics as well as areas related to education and administration. Other important areas of interest include cancer rehabilitation, aging, and exercise. The Journal has recently published a series of articles on the topic of outcomes research. This well-established journal is the official scholarly publication of the Association of Academic Physiatrists (AAP).
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