Article

Goal-setting can have a positive impact on stroke recovery during
rehabilitation. Patient participation in goal formulation can ensure that
personally relevant goals are set, and can result in greater satisfaction with
the rehabilitation experience, along with improved recovery of stroke deficits.
This, however, not yet been studied in a stroke outpatient rehabilitation
setting. OBJECTIVE: To assess patient satisfaction of meeting self-selected goals
during outpatient rehabilitation following a stroke. DESIGN: Retrospective chart
review. SETTING: Stroke patients enrolled in a multidisciplinary outpatient
rehabilitation program, who set at least 1 goal during rehabilitation.
PARTICIPANTS: Patients recovering from a stroke received therapy through the
outpatient rehabilitation program between January 2010 and December 2013.
METHODS: Upon admission and discharge from rehabilitation, patients rated their
satisfaction with their ability to perform goals that they wanted to achieve.
Researchers independently sorted and labeled recurrent themes of goals. Goals
were further sorted into International Classification of Functioning, Disability
and Health (ICF) categories. To compare the perception of patients' goal
satisfaction, repeated-measures analysis of variance was conducted across the 3
ICF goal categorizations. MAIN OUTCOME MEASURE: Goal satisfaction scores.
RESULTS: A total of 286 patients were included in the analysis. Patient goals
concentrated on themes of improving hand function, mobility, and cognition. Goals
were also sorted into ICF categories in which impairment-based and activity
limitation-based goals were predominant. Compared to activity-based and
participation-based goals, patients with impairment-based goals perceived greater
satisfaction with meeting their goals at admission and discharge (P < .001).
Patient satisfaction in meeting their first-, second-, and third-listed goals
each significantly improved by discharge from the rehabilitation program (P <
.001). CONCLUSION: Within an outpatient stroke rehabilitation setting, patients
set heterogeneous goals that were predominantly impairment based. Satisfaction in
achieving goals significantly improved after receiving therapy. The type of goals
that patients set were related to their goal satisfaction scores, with
impairment-based goals being rated significantly higher than activity-based and
participation-based goals. LEVEL OF EVIDENCE: III.
CI - Copyright (c) 2017 American Academy of Physical Medicine and Rehabilitation.
Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS