物理治疗师在髋部骨折和行动受限的老年人从医院到家庭过渡过程中的作用:一项研究方案

IF 0.8 Q4 NURSING
M. Kalu, Augustine C Okoh, Henrietha C Nwankwo, E. Anieto, Israel I Adandom, Samuel U. Jumbo, Uduonu Ekezie, Emofe Diameta, O. Akinrolie, Perpetua C Obi, Chidinma A Omeje, Sadiq Mohammad, Michael Ajulo, M. Opara, U. Abaraogu
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引用次数: 2

摘要

引言功能缺陷,如步态速度、肌肉力量或出院后日常生活活动减少,是老年髋部骨折患者再次入院的预测因素。然而,在包括尼日利亚在内的发展中国家,理疗师天生就是行动专家,他们没有积极参与髋关节骨折老年人从医院到家庭的过渡。这项定性研究旨在描述和探索在住院康复室工作的PT如何为老年人(≥60岁)做好准备 年),以便转移到社区的家中。方法我们将采用Sally Thorne的解释性描述方法,有目的地选择25名具有5年参与老年髋部骨折患者出院经验的PT,从住院康复到家庭。数据收集将包括(a)对PT的半结构化一对一访谈,(b)对两名老年人的出院总结,以及(c)与PT的最终焦点小组讨论。我们将要求理疗师提供两名老年人的出院总结——一名被他们描述为“困难”病例,另一名被描述为住院康复过渡到家庭的“容易”病例。数据将采用Sally Thorne的“借用技巧”进行分析,即分别对患者出院总结和PT访谈进行内容和主题分析。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Physiotherapists’ role during hospital-to-home transition for older adults with hip fracture and mobility limitation: A research protocol
Introduction Functional deficits such as gait speed, muscle strength or reduced activities in daily living after discharge are predictors for hospital readmission for older adults with hip fractures. However, physiotherapists (PTs) who are inherently mobility experts, do not actively participate during the hospital-to-home transition of older adults with hip fractures in the developing countries, including Nigeria. This qualitative study aims to describe and explore how PTs working within inpatient rehabilitation units prepare older adults (≥60 years) with a hip fracture for transfer to their home in the community. Methods We will adopt Sally Thorne’s Interpretive Description approach to purposively select 25 PTs with 5-years experience of participating in discharging older adults with hip fractures from inpatient rehabilitation-to-home. Data collection will include (a) semi-structured, one-on-one interviews with PTs, (b) discharge summaries of two older adults, and (c) final focus group discussion with PTs. We will ask the physiotherapists to provide discharge summaries of two older adults - one that they described as a “difficult” case and one that they described as an “easy” case during inpatient rehabilitation-to-home transition. Data will be analyzed employing Sally Thorne’s “borrowing techniques”- content and thematic analysis for the patients’ discharge summaries and PT interviews, respectively.
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来源期刊
CiteScore
3.10
自引率
14.30%
发文量
15
期刊介绍: The International Journal of Care Coordination (formerly published as the International Journal of Care Pathways) provides an international forum for the latest scientific research in care coordination. The Journal publishes peer-reviewed original articles which describe basic research to a multidisciplinary field as well as other broader approaches and strategies hypothesized to improve care coordination. The Journal offers insightful overviews and reflections on innovation, underlying issues, and thought provoking opinion pieces in related fields. Articles from multidisciplinary fields are welcomed from leading health care academics and policy-makers. Published articles types include original research, reviews, guidelines papers, book reviews, and news items.
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