Factors Influencing Decision-Making for Poststroke Paretic Upper Limb Treatment: A Survey of Japanese Physical and Occupational Therapists.

IF 1.3 4区 医学 Q3 REHABILITATION Occupational Therapy International Pub Date : 2024-10-07 eCollection Date: 2024-01-01 DOI:10.1155/2024/1854449
Koichiro Hirayama, Takashi Takebayashi, Kayoko Takahashi
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Abstract

This study investigated the treatment methods used by physical and occupational therapists for poststroke paretic upper limbs and the factors influencing their decision-making processes. For the treatment methods of poststroke paretic upper limbs, the respondents were asked to select the most clinically used treatment according to the severity of the patient's condition. For the factors influencing their decision-making processes, the respondents were asked to indicate each determinant using a 5-point Likert scale (1 = no influence at all to 5 = very strong influence). Six hundred thirty-eight therapists participated in this study. Exploratory factor analysis was used to assess the validity of the questionnaire. The findings indicated task-specific training (N = 333, 52%) as the most popular for mild cases, followed by repetitive facilitative exercise (n = 143, 22.3%) for moderate cases and electrical stimulation (n = 246, 38.4%) for severe cases. This study revealed that evidence about treatment (very strong: n = 171 (27.0%), and strong: n = 287 (45.0%)) and patient preferences (very strong: n = 203 (31.8%), and strong: n = 251 (39.3%)) affected decision-making significantly regarding treatment methods for the poststroke paretic upper limb.

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影响卒中后上肢麻痹治疗决策的因素:日本物理和职业治疗师调查。
本研究调查了物理治疗师和作业治疗师对脑卒中后上肢瘫痪所采用的治疗方法,以及影响其决策过程的因素。对于脑卒中后上肢瘫痪的治疗方法,受访者被要求根据患者病情的严重程度选择临床上最常用的治疗方法。对于影响其决策过程的因素,受访者被要求使用 5 点李克特量表(1 = 完全没有影响到 5 = 影响非常大)来表示每个决定因素。共有 638 名治疗师参与了这项研究。研究采用了探索性因子分析来评估问卷的有效性。研究结果表明,针对轻度病例的特定任务训练(333 人,52%)最受欢迎,其次是针对中度病例的重复性促进锻炼(143 人,22.3%)和针对重度病例的电刺激(246 人,38.4%)。本研究显示,有关治疗的证据(很强:n = 171 (27.0%);很强:n = 287 (45.0%))和患者的偏好(很强:n = 203 (31.8%);很强:n = 251 (39.3%))对卒中后上肢瘫痪治疗方法的决策影响很大。
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来源期刊
CiteScore
2.50
自引率
6.70%
发文量
121
审稿时长
>12 weeks
期刊介绍: Occupational Therapy International is a peer-reviewed journal, publishing manuscripts that reflect the practice of occupational therapy throughout the world. Research studies or original concept papers are considered for publication. Priority for publication will be given to research studies that provide recommendations for evidence-based practice and demonstrate the effectiveness of a specific treatment method. Single subject case studies evaluating treatment effectiveness are also encouraged. Other topics that are appropriate for the journal include reliability and validity of clinical instruments, assistive technology, community rehabilitation, cultural comparisons, health promotion and wellness.
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