关键词: medicine motivational interviewing patient compliance rehabilitation stroke

来  源:   DOI:10.3389/fmed.2024.1384414   PDF(Pubmed)

Abstract:
UNASSIGNED: Cognitive and motor impairments are common among stroke survivors. Physical therapy is often used to improve the functional capacity of stroke survivors. However, limited adherence to rehabilitation programs is a challenge. Motivation plays a crucial role in the success of rehabilitation programs as it influences individual adherence to treatment and overall health outcomes. This review aims to identify current trends in motivational strategies used by healthcare professionals for stroke survivor rehabilitation.
UNASSIGNED: Following the framework developed by Arksey and O\'Malley, a scoping review was conducted. We performed a literature search using MEDLINE, CINAHL, the Cochrane Central Register of Controlled Trials, Nursing & Allied Health, and MedicLatina databases.
UNASSIGNED: A total of 906 papers were identified. After selecting and analyzing the articles, 17 papers were included in this review. Health professionals use various strategies to motivate stroke survivors. These approaches include establishing a therapeutic alliance, improving patients\' health literacy, defining realistic goals, fostering problem-solving skills, personalizing the rehabilitation program, showcasing success stories, utilizing persuasive techniques, offering encouragement and compliments, providing emotional support, and effectively managing symptoms.
UNASSIGNED: The knowledge gathered in this review can guide healthcare professionals in helping patients overcome barriers to rehabilitation, improve their motivation, and ultimately enhance their recovery outcomes.
摘要:
认知和运动障碍在中风幸存者中很常见。物理疗法通常用于改善中风幸存者的功能能力。然而,有限地坚持康复计划是一个挑战。动机在康复计划的成功中起着至关重要的作用,因为它影响个人对治疗的依从性和整体健康结果。这篇综述旨在确定医疗保健专业人员用于中风幸存者康复的动机策略的当前趋势。
遵循Arksey和O\'Malley开发的框架,进行了范围审查。我们使用MEDLINE进行了文献检索,CINAHL,Cochrane中央受控试验登记册,护理与联合健康,和MedicLatina数据库。
共鉴定出906篇论文。在选择和分析文章之后,这篇综述包括17篇论文。卫生专业人员使用各种策略来激励中风幸存者。这些方法包括建立治疗联盟,提高患者的健康素养,定义现实的目标,培养解决问题的能力,个性化康复计划,展示成功的故事,利用有说服力的技术,提供鼓励和赞美,提供情感支持,有效控制症状。
本综述收集的知识可以指导医疗保健专业人员帮助患者克服康复障碍,提高他们的动机,并最终提高他们的恢复结果。
公众号