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Occupational Therapy for Poststroke Anxiety and Depressive Symptoms in Inpatient Rehabilitation.
Pisegna, Janell; Knebel, Rachel; Juckett, Lisa; Darragh, Amy; Nichols-Larsen, Deborah S; Krok-Schoen, Jessica L.
Afiliación
  • Pisegna J; University of Colorado Anschutz Medical Campus, Aurora, USA.
  • Knebel R; GRECC VA Eastern Colorado Health Care System, Aurora, USA.
  • Juckett L; The Ohio State University, Columbus, USA.
  • Darragh A; The Ohio State University, Columbus, USA.
  • Nichols-Larsen DS; The Ohio State University, Columbus, USA.
  • Krok-Schoen JL; The Ohio State University, Columbus, USA.
OTJR (Thorofare N J) ; 44(1): 78-87, 2024 01.
Article en En | MEDLINE | ID: mdl-36748712
ABSTRACT
Poststroke anxiety and depressive symptoms (P-SADS) affect one in three people and are associated with decreased participation in activities of daily living. This study sought to characterize occupational therapy (OT) P-SADS care practices and identify factors influencing P-SADS care provision in one U.S. inpatient rehabilitation (IRF) facility. An explanatory sequential mixed-methods study design was used by gathering data from electronic health records (from January 1, 2019 to December 31, 2019) as well as semi-structured interviews with OT practitioners in the IRF. No objective P-SADS screens were documented nor were any P-SADS-focused goals written. Minimal evidence-based P-SADS interventions were identified. Practitioners reported multi-level barriers to OT P-SADS care including limited time, pressure to prioritize physical recovery, and inadequate resources to guide practice. OT practitioner P-SADS care was inconsistent with established evidence-based practice. This research identifies gaps in comprehensive stroke recovery and informs implementation efforts to support evidence-based P-SADS care in IRFs.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Terapia Ocupacional / Rehabilitación de Accidente Cerebrovascular Tipo de estudio: Diagnostic_studies / Prognostic_studies / Qualitative_research Límite: Humans Idioma: En Revista: OTJR (Thorofare N J) Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Terapia Ocupacional / Rehabilitación de Accidente Cerebrovascular Tipo de estudio: Diagnostic_studies / Prognostic_studies / Qualitative_research Límite: Humans Idioma: En Revista: OTJR (Thorofare N J) Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos