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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Decision-Making on Referral to Primary Care Physiotherapy After Inpatient Stroke Rehabilitation
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Decision-Making on Referral to Primary Care Physiotherapy After Inpatient Stroke Rehabilitation

机译：住院康复后初级护理物理治疗的决策

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Objective: This study aimed to acquire insight into the decision-making processes of healthcare professionals concerning referral to primary care physiotherapy at the time of discharge from inpatient stroke rehabilitation. Design: A generic qualitative study using an inductive thematic analysis was performed. Semi-structured interviews were conducted following an interview guide. Setting: Secondary care centers in the Netherlands: neurology departments of nine hospitals and (geriatric) rehabilitation centers. Participants: Nineteen healthcare professionals (physiotherapists, specialist in geriatric medicine, physiatrist, physician assistant) participated in the study. All were involved in the decision for referral to primary care physiotherapy. Results: During the inpatient period, healthcare professionals gather information to form a complete picture of the stroke survivor as a basis for decision-making. The decision on referral is influenced by personal factors and home environment of the stroke survivor, organizational factors within the care setting, and the intuition and feeling of social responsibility of the individual healthcare professional. Conclusions: After inpatient rehabilitation, many elements are considered that may influence referral to primary care physiotherapy. Presently, there is no consensus concerning referrals. The final decision depends on the individual physiotherapist and care setting. Healthcare professionals mentioned the importance of movement behavior, although there is no consensus if secondary prevention is a primary task of the physiotherapist. More research is needed to identify risk factors for functional decline in order to develop a referral policy that addresses primary care physiotherapy to the right group of stroke survivors.
机译：目的：本研究旨在了解住院脑卒中康复患者出院时医护人员关于转诊到初级保健物理治疗的决策过程。设计：采用归纳主题分析进行一般性定性研究。根据访谈指南进行半结构化访谈。单位：荷兰的二级护理中心：九家医院的神经科和（老年）康复中心。参与者：19名医疗保健专业人员（物理治疗师、老年医学专家、物理治疗师、医师助理）参与了这项研究。所有人都参与了转诊到初级保健物理治疗的决定。结果：在住院期间，医疗专业人员收集信息，形成中风幸存者的完整图片，作为决策依据。转诊决定受中风幸存者的个人因素和家庭环境、护理环境中的组织因素以及个人医疗专业人员的直觉和社会责任感的影响。结论：住院患者康复后，许多因素可能会影响转诊到初级保健物理治疗。目前，在转诊方面没有共识。最终的决定取决于个体理疗师和护理环境。医疗专业人士提到了运动行为的重要性，但如果二级预防是理疗师的首要任务，目前还没有达成共识。需要更多的研究来确定功能下降的风险因素，以便制定一项转诊政策，将初级保健物理疗法提供给正确的中风幸存者群体。

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