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Building up Systematic Client-Centred Data as a Base for Clinical Outcome within Outpatient Neurorehabilitation

Building up Systematic Client-Centred Data as a Base for Clinical Outcome within Outpatient Neurorehabilitation
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摘要 Objective: This study describes the development and use of a specific database supporting personnel within outpatient neurological rehabilitation to reflect on existing interventions and improve future rehabilitation. Methods: Five outpatient rehabilitation centres in one county council in Sweden were involved in developing and implementing a systematic data collection template within the existing digital medical record system. Data were collected to get more information on the effects of outpatient stroke rehabilitation in patients who received rehabilitation the first year after a stroke (ICD-I64) and patients who received further rehabilitation 1 year or more after a stroke (ICD-I69). Data analysis included evaluation of balance, movement, activity/participation, health-related quality of life, and self-rated health. Results: The ICD-I64 group had positive results after treatment (p < 0.05) for all variables and the ICD-I69 group had positive results for balance and activity/participation. Conclusions: The use of systematic data collection provided a platform for employees and managers to discuss and use clinical results to improve the type and quality of rehabilitation interventions. Objective: This study describes the development and use of a specific database supporting personnel within outpatient neurological rehabilitation to reflect on existing interventions and improve future rehabilitation. Methods: Five outpatient rehabilitation centres in one county council in Sweden were involved in developing and implementing a systematic data collection template within the existing digital medical record system. Data were collected to get more information on the effects of outpatient stroke rehabilitation in patients who received rehabilitation the first year after a stroke (ICD-I64) and patients who received further rehabilitation 1 year or more after a stroke (ICD-I69). Data analysis included evaluation of balance, movement, activity/participation, health-related quality of life, and self-rated health. Results: The ICD-I64 group had positive results after treatment (p < 0.05) for all variables and the ICD-I69 group had positive results for balance and activity/participation. Conclusions: The use of systematic data collection provided a platform for employees and managers to discuss and use clinical results to improve the type and quality of rehabilitation interventions.
作者 Jessica Vollertsen Kersti Samuelsson Jessica Vollertsen;Kersti Samuelsson(Department of Rehabilitation and Department of Medical and Health Sciences, Link&ouml;ping University, Motala, Sweden;Department of Social and Welfare Studies, Link&ouml;ping University, Norrk&ouml;ping, Sweden;Department of Rehabilitation Medicine and Department of Medicine and Health Sciences, Link&ouml;ping University, Link&ouml;ping, Sweden)
出处 《Open Journal of Therapy and Rehabilitation》 2016年第1期10-21,共12页 康复医学(英文)
关键词 Neurological Rehabilitation Occupational Therapy Quality Improvement STROKE Neurological Rehabilitation Occupational Therapy Quality Improvement Stroke
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