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A home-based telerehabilitation randomized trial for stroke care: Effects on falls self-efficacy and satisfaction with care

机译:用于中风护理的家庭Telerehilitation随机试验:对小心的自我效力和满足的影响

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We determined the effect of a multifaceted stroke telerehabilitation (STeleR) intervention on falls-related self-efficacy and satisfaction with care in stroke patients. We conducted a prospective, randomized, multisite, single-blinded trial in 52 veterans with stroke from 3 Veterans Affairs medical centers. Individuals who experienced a stroke in the past 24 months were randomized to the STeleR intervention or usual care. In addition, participants in the intervention arm were administered an exit interview three months after their final outcome measure was administered that included more in-depth questions related to their satisfaction. This interview was performed via the telephone by the Coordinating Center. The STeleR intervention consisted of 3 home visits, 5 telephone calls, and an in-home messaging device provided over 3 months to instruct patients in functionally based exercises and adaptive strategies. The outcome measures included Falls Efficacy Scale to measure fall-related self-efficacy and Reker et al.'s Stroke-Specific Patient Satisfaction with Care (SSPSC) scale, a measure separated into two subscales (satisfaction with home care and satisfaction with hospital care) was employed to measure the participants' satisfaction. At six months, compared with the usual care group, the STeleR group showed statistically significant improvements in one of the two SSPSC scales (satisfaction with hospital care, p = .029) and approached significance in the second SSPSC scale (satisfaction with home care, p = .077)). There were no improvements in fall-related self-efficacy. Core concepts identified were: (a) expansion of home-based instruction of exercises; and b) technology. The STeleR intervention improved satisfaction with care, especially as it relates to care following their experience from the hospital. With the limited resources available for in-home rehabilitation for stroke survivors, STeleR (and especially its exercise components) can be a - seful complement to traditional poststroke rehabilitation.
机译:我们确定了多方面的行程监督(钟声)干预对卒中患者的护理与患有相关的自我效力和满意度的影响。我们在52名退伍军人在3名退伍军人事务医疗中心进行了一项预期,随机的多立体单一的单一审判,其中卒中。在过去24个月中经历了卒中的个人被随机陷入塞尔干预或通常的护理。此外,参与者,干预组给予离职面谈他们的最终结局措施后三个月给药,包括更深入的与他们的满意度的问题。这次面试是通过电话由协调中心进行的。塞子干预由3个家庭访问,5个电话,以及3个月内提供的内置消息设备,以指导患者在功能上的练习和适应性策略中。结果措施包括衡量与患有坠落的自我效力和Reker等人的疗效量表。与护理(SSPSC)规模的卒中特异性患者满意度,分为两种分量(与家庭护理的满意度和医院护理满意度)受雇于衡量参与者的满意度。六个月,与通常的护理小组相比,塞尔特集团在两个SSPSC尺度之一(与医院护理,P = .029的满意度)进行了统计上显着的改进,并在第二个SSPSC规模中接近意义(与家庭护理满意度, p = .077))。秋天相关的自我疗效没有改善。确定的核心概念是:(a)扩大锻炼的家庭教学;和b)技术。塞子干预的干预改善了小心的满足感,特别是因为它与在医院的经验之后关心。利用有限的资源可用于中风幸存者的家庭康复,塞尔(尤其是其健身组成部分)可以是传统卒中康复的叠加补充。

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