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首页> 外文期刊>Journal of orthopaedic nursing >A cohort study of 7 day a week physiotherapy on an acute orthopaedic ward
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A cohort study of 7 day a week physiotherapy on an acute orthopaedic ward

机译：一项针对急性骨科病房每周7天理疗的队列研究

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Physiotherapy is vital in managing orthopaedic conditions, but in many public hospitals it is not routinely provided on weekends and holidays. This cohort study examines the impact of a 7 day a week physiotherapy programme on an acute orthopaedic ward using additional staffing to supplement weekday services. One hundred and twenty patients with a broad range of diagnoses were included in each group. For the total patient cohort, no statistically significant differences were detected between groups for average length of stay (ALOS) or time to achieve independent transfers and mobility. However, intervention patients with a fractured ankle had a significantly shorter ALOS (p = 0.05) and achieved independent mobility sooner than the control group (p = 0.03). Intervention patients admitted for a total knee replacement achieved independent transfers significantly sooner that control patients (p = 0.04). Clinically significant improvements were demonstrated in a number of other diagnostic subgroups. A large number of patients in both groups experienced a delayed discharge for organisational reasons, but the proportion was significantly higher in the intervention group (p < 0.001). This study provides some evidence of the effectiveness of 7 day a week physiotherapy in reducing average length of stay and attaining functional goals sooner for certain diagnostic subgroups. With a larger study, benefits may be demonstrated for a wider range of patients. To maximise the benefits of 7 day a week physiotherapy, organisational delays to discharge need to be minimised
机译：物理疗法对于管理骨科疾病至关重要，但是在许多公立医院中，通常不会在周末和节假日提供物理疗法。这项队列研究研究了每周7天的物理疗法对急性骨科病房的影响，并使用了额外的人员来补充平日的服务。每组包括120名诊断范围广泛的患者。对于整个患者队列，两组之间的平均住院天数（ALOS）或实现独立转移和移动性的时间均无统计学差异。但是，踝关节骨折的介入患者的ALOS明显短（p = 0.05），并且比对照组更快地实现了独立活动（p = 0.03）。接受全膝关节置换手术的干预患者比对照组患者明显更快地获得了独立转移（p = 0.04）。在其他许多诊断亚组中也证明了临床上的显着改善。两组中的大量患者由于组织原因延迟出院，但干预组中的比例明显更高（p <0.001）。这项研究提供了一些证据，证明某些诊断亚组每周7天进行理疗可以缩短平均住院时间并更快达到功能目标。进行更大的研究，可能会为更多的患者展示出益处。为了最大化每周7天理疗的收益，需要将出院的组织延迟最小化

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