学生开办的公益诊所提供动物辅助治疗试点研究

Colleen Fralinger, Patty Coker Bolt, Cathy Bennett, Suzanne Craig
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摘要

背景:动物辅助疗法(AAT)是一种治疗干预措施,旨在帮助患者参与有意义的生活活动。1 在医疗机构中,治疗犬被用于帮助患者参与运动、自我护理、心理健康、动机、社会反应、疼痛管理和精细动作技能。2 虽然有研究表明,AAT 对住院环境中的儿童和成人有益,但缺乏有关学生开办的免费诊所(SRFC)中 AAT 的益处和满意度的信息。 方法:职业治疗(OT)专业学生、志愿临床医生、训练有素的治疗犬团队以及在社区援助、救济、教育和支持(CARES)SRFC 接受职业治疗服务的患者参加了 AAT 试点项目。所有参与者都在 AAT 课程结束后立即通过 REDcap 完成了一份专门设计的调查问卷。调查的重点是患者的疼痛和压力水平、AAT 的益处以及患者的满意度。 结果10 名患者与 37 名学生和 4 支治疗犬团队一起参加了 AAT 试点项目。100%的患者认为治疗犬帮助他们实现了目标,93.8%的饲养员和临床医生认为治疗犬是治疗过程中的重要补充,100%的康复治疗专业学生认为 AAT 是治疗师在临床环境中使用的重要工具。67.6%的患者表示压力有所减轻,41.2%的疼痛患者表示症状有所减轻。学生、训练者和临床医生均报告了使用 AAT 的益处,包括活动范围(79.7%)、精细运动技能(68.1%)和动力(68.1%)。 结论:根据从参与者那里收集到的反馈和数据,AAT 成功地融入了 CARES SRFC。AAT 对患者、学生、处理人员和临床医生都产生了明显的影响。有关在 SRFC 中使用 AAT 的未来研究应包括更大的样本量,并考虑如何更好地界定 AAT 对 SRFC 中常见人群和病症的具体影响。
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Pilot Study of Animal Assisted Therapy Provided in a Student Run Pro Bono Clinic
Background: Animal assisted therapy (AAT) is therapeutic intervention designed to help patients engage in meaningful life activities.1 Therapy dogs are used in healthcare settings to engage patients in motion, self-care, mental health, motivation, social responses, pain management, and fine motor skills.2 While there is research on the benefits of AAT with children and adults in inpatient settings, there is a lack of information on the benefits and satisfaction of AAT in student-run free clinics (SRFC). Methods: Occupational therapy (OT) students, volunteer clinicians, trained therapy dog teams, and patients receiving OT services at the Community Aid, Relief, Education & Support (CARES) SRFC participated in a pilot AAT program. All participants completed a specially designed survey via REDcap immediately following AAT sessions. Surveys focused on the patient’s pain and stress levels, benefits of AAT, and patient satisfaction. Results: Ten patients participated in the AAT pilot program alongside thirty-seven students and 4 therapy dog teams. 100% of patients responded therapy dogs helped them reach their goals, 93.8% of handlers and clinicians agreed the dog was a valuable addition to therapy sessions, and 100% of OT students agreed AAT is an important tool for therapists to use in clinical settings. 67.6% of patients reported a decrease in stress and 41.2% of patients who were experiencing pain reported a decrease in symptoms. Students, handlers, and clinicians reported benefits with AAT including range of motion (79.7%), fine motor skills (68.1%), and motivation (68.1%). Conclusion: AAT was successfully integrated into CARES SRFC based on feedback and data collected from participants. AAT had a visible impact on patients, students, handlers, and clinicians. Future research on the use of AAT in a SRFC should include a larger sample size and consider how to better define the specific impact of AAT on populations and conditions commonly seen in a SRFC.
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