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논문 기본 정보

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Zoe Adey-Wakeling (Department of Rehabilitation, Flinders University of South Australia, Bedford Park, SA, Australia) Laura Jolliffe (Alfred Health, Melbourne, Australia) Elizabeth O’Shannessy (Alfred Health Melbourne Australia) Peter Hunter (Alfred Health, Melbourne, Australia) Jacqui Morarty (Alfred Health, Melbourne, Australia) Ian D. Cameron (John Walsh Centre for Rehabilitation Research, University of Sydney, Sydney, Australia) Enwu Liu (Department of Rehabilitation, Flinders University of South Australia, Bedford Park, SA, Australia) Natasha A. Lannin (Alfred Health, Melbourne, Australia)
저널정보
대한재활의학회 Annals of Rehabilitation Medicine Annals of Rehabilitation Medicine 제45권 제6호
발행연도
2021.12
수록면
413 - 421 (9page)
DOI
10.5535/arm.21034

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Objective To examine the frequency and timing of inpatient engagement in meaningful activities within rehabilitation (within and outside of structured therapy times) and determine the associations between activity type, goal awareness, and patient affect.Methods This prospective observational study performed behavioral mapping in a 42-bed inpatient brain injury rehabilitation unit by recording patient activity every 15 minutes (total 42 hours). The participants were randomly selected rehabilitation inpatients with acquired brain injury; all completed the study. The main outcome measures included patient demographics, observation of activity, participation, goal awareness, and affect.Results The inpatients spent 61% of the therapeutic day (8:30 to 16:30) in their single room and were alone 49% of the time. They were physically socially inactive for 76% and 74% of their awake time, respectively, with neutral affect observed for about half of this time. Goal-related activities were recorded for only 25% of the inpatients’ awake time. The odds of physical activity were 10.3-fold higher among in patients receiving support to address their goals within their rehabilitation program (odds ratio=10.3; 95% confidence interval, 5.02?21.16).Conclusion Inpatients in a mixed brain injury rehabilitation unit spent a large amount of their awake hours inactive and only participated in goal-related activities for a quarter of their awake time. Rehabilitation models that increase opportunities for physical, cognitive, and social activities outside of allied health sessions are recommended to increase overall activity levels during inpatient rehabilitation.
#Rehabilitation #Environment #Brain injury #Activity analysis #Multidisciplinary

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Australian Institute of Health and Welfare / Disability in Australia: acquired brain injury google schola Royal College of Physicians / Intercollegiate Stroke Working Party. National clinical guidelines for stroke google schola Stroke Foundation / Clinical guidelines for stroke management google schola Royal Australasian College of Physician / Standards for the provision of inpatient adult rehabilitation medicine services in public and private hospitals 2011 google schola National Institute for Health and Care Excellence / Mental wellbeing of older people in care homes –Quality standard [QS50] - Quality statement 1: Participation in meaningful activity google schola

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