学生竞赛(临床/最佳实践实施) ID 1974598

IF 2.4 Q1 REHABILITATION
Nicole Cesca, Chantal Lin, Zeina Abu-Jurji, Aaron Wexler, Jonas Mark, S. McCullum, Rija Kamran, Brian Chan, Kristin E. Musselman
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引用次数: 0

摘要

脊髓损伤(SCI)后的康复是一个终身过程,患者需要在各种环境下接受治疗,包括没有脊髓损伤专科服务的中心(即非脊髓损伤专科中心)。活动疗法(Activity-based Therapy,ABT)是一种相对较新的神经恢复方法,包括在损伤程度以下进行密集的、针对特定任务的运动练习。本研究旨在了解非 SCI 专科中心的物理和职业治疗师目前对 ABT 的了解、看法和使用情况。 研究采用半结构式访谈进行定性探索研究。理论领域框架用于制定访谈指南,询问治疗师提供 SCI 康复的经验、对 ABT 的看法以及 ABT 的实施情况。参与访谈的加拿大治疗师在过去 18 个月中至少治疗过一名 SCI 患者,并在非 SCI 专科中心执业。对访谈进行了录音、逐字转录并使用解释性描述进行了分析。 来自急诊、住院、长期护理和门诊的四名物理治疗师和三名职业治疗师参与了访谈。确定了三个主题1) 在非 SCI 专科中心从事 SCI 工作所面临的挑战;2) 当前使用的治疗技术;3) 希望获得 ABT 知识和非 SCI 专科中心特有的实施策略。研究发现,参与者在不知情的情况下将 ABT 的某些内容纳入了他们的实践中。参与者强调了实施 ABT 所面临的挑战,如知识差距,并表示渴望了解更多有关 ABT 的知识。 目前在非 SCI 专业中心实施 ABT 的情况有限,存在各种挑战和治疗师的需求。为非 SCI 专科中心的治疗师量身定制 ABT 教育可能会增加 ABT 在这些中心的实施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Student Competition (Clinical/Best Practice Implementation) ID 1974598
Rehabilitation after spinal cord injury (SCI) is a life-long process with individuals accessing care in a variety of settings, including centres without SCI-specific services (i.e., non-SCI-specialized centres). Activity-based Therapy (ABT) is a relatively new neurorestorative approach that involves intensive, task-specific movement practice below the level of injury. This study aimed to understand current knowledge, perceptions, and use of ABT by physical and occupational therapists at non-SCI-specialized centres. A qualitative exploratory study using semi-structured interviews was conducted. The Theoretical Domains Framework was used to develop an interview guide that queried therapists’ experiences providing SCI rehabilitation, perceptions of ABT and ABT implementation. Canadian therapists who worked with at least one SCI patient in the last 18 months and practiced at non-SCI-specialized centres participated. Interviews were audio-recorded, transcribed verbatim and analyzed using interpretive description. Four physical and three occupational therapists from acute, inpatient, long-term care and outpatient settings participated. Three themes were determined: 1) Perceived challenges of working with SCI in non-SCI-specialized centres, 2) Current therapy techniques used and 3) Desire for ABT knowledge and implementation strategies specific to non-SCI-specialized centres. It was identified that participants were unknowingly incorporating some components of ABT in their practice. Participants emphasized challenges to ABT implementation, such as knowledge gaps, and expressed a keenness to learn more about ABT. Current implementation of ABT in non-SCI-specialized centres is limited, with a variety of challenges and therapist needs identified. Tailoring ABT education to therapists at non-SCI-specialized centres may increase implementation of ABT at these centres.
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来源期刊
CiteScore
3.20
自引率
3.40%
发文量
33
期刊介绍: Now in our 22nd year as the leading interdisciplinary journal of SCI rehabilitation techniques and care. TSCIR is peer-reviewed, practical, and features one key topic per issue. Published topics include: mobility, sexuality, genitourinary, functional assessment, skin care, psychosocial, high tetraplegia, physical activity, pediatric, FES, sci/tbi, electronic medicine, orthotics, secondary conditions, research, aging, legal issues, women & sci, pain, environmental effects, life care planning
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