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首页> 外文期刊>BMC Geriatrics >The effects of increased therapy time on cognition and mood in frail patients with a stroke who rehabilitate on rehabilitation units of nursing homes in the Netherlands: a protocol of a comparative study
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The effects of increased therapy time on cognition and mood in frail patients with a stroke who rehabilitate on rehabilitation units of nursing homes in the Netherlands: a protocol of a comparative study

机译：治疗时间延长对中风后体弱的中风患者的认知和情绪的影响：在荷兰疗养院的康复机构进行康复：一项比较研究方案

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Background Recovery after stroke is dependent on how much time can be spent on rehabilitation. Recently, we found that therapy time for older stroke patients on a rehabilitation unit of a nursing home could be increased significantly from 8.6 to at least 13?hours a week. This increase was attained by the implementation of interventions, focused on strength, mobility and balance. Nurses carried out these exercises with the patients during their daily activities. The aim of the present study is to investigate if increased therapy time has a positive effect on cognition, mood (depression and anxiety), and ADL in stroke patients. Methods A comparative single blind controlled study will be applied. Patients suffering from a stroke and staying on one of the rehabilitation units of the nursing homes are eligible for participation. Participants belong to the intervention group if they stay in two nursing homes where four interventions of the Clinical Nursing Rehabilitation Stroke Guideline were implemented. Participants who stay in two nursing homes where therapy is given according to the Dutch stroke Guideline, are included in the control group. Clinical neuropsychologists will assess patients’ cognitive functioning, level of depression (mood) and anxiety. Nurses will assess a Barthel Index score on a weekly basis (ADL). These variables are measured at baseline, after 8?weeks and at the moment when participants are discharged from the nursing home. Discussion The present study evaluates the effect of increased therapy time on cognition, mood (level of depression and anxiety), and ADL in stroke patients. When positive effects will be found this study can guide policy makers and practitioners on how to implement more therapy time on rehabilitation wards of nursing homes. Trial registration TNR Our study has been documented in the Dutch Trial Registration, TC?=?3871 .
机译：中风后的背景恢复取决于可以花多少时间进行康复。最近，我们发现在疗养院的康复机构中对中风老年患者的治疗时间可以从每周8.6小时显着增加到至少13小时。这一增长是通过实施以力量，流动性和平衡为重点的干预措施来实现的。护士在患者的日常活动中对他们进行了这些练习。本研究的目的是研究增加的治疗时间是否对中风患者的认知，情绪（抑郁和焦虑）和ADL有积极影响。方法将采用比较性单盲对照研究。中风且住在疗养院其中一个康复室的患者有资格参加。如果参与者住在两个疗养院，并且实施了《临床护理康复中风指南》的四个干预措施，则他们属于干预组。对照组中包括留在两个疗养院中并根据《荷兰中风指南》进行治疗的参与者。临床神经心理学家将评估患者的认知功能，抑郁（情绪）水平和焦虑程度。护士将每周评估一次Barthel指数评分（ADL）。这些变量是在基线，8周后以及从疗养院出院的那一刻起测量的。讨论本研究评估了增加治疗时间对中风患者认知，情绪（抑郁和焦虑水平）和ADL的影响。当发现积极的效果时，这项研究可以指导政策制定者和从业者如何在疗养院的康复病房实施更多的治疗时间。试用注册TNR我们的研究已记录在荷兰试用注册TC？=？3871中。

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