Spasticity over time during acute rehabilitation: a study of patient and clinician scores

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• 作者：Rozina H. Bhimani ; PhD ; DNP^a ; ^{bhim0001@umn.edu" class="auth_mail" title="E-mail the corresponding author} ; Cynthia Peden-McAlpine ; PhD ; RN^b ; ^{peden001@umn.edu" class="auth_mail" title="E-mail the corresponding author} ; Joseph Gaugler ; PhD^b ; ^{gaug0015@umn.edu" class="auth_mail" title="E-mail the corresponding author} ; Lisa Carney Anderson ; PhD^b ; ^{ander350@umn.edu" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Nursing ; Spasticity ; Mixed method ; Symptom experiences ; Communication
• 刊名：Applied Nursing Research
• 出版年：2016
• 出版时间：May 2016
• 年：2016
• 卷：30
• 期：Complete
• 页码：16-23
• 全文大小：1109 K

文摘

The aims of this study were to describe spasticity trajectories as a function of time, gender, and diagnosis and to explore the correspondence between patient and clinician scores of spasticity.

Background

Discrepancy between examiner assessment and patient rating of spasticity exists. Assessments that include the patient perspective are critical for patient safety. This mixed-method study provided patient descriptors of spasticity integrated with clinical scales.

Method

Twenty-three participants provided spasticity descriptors and rated their spasticity based on Numeric Rating Scale (NRS) scores. A clinician evaluated spasticity daily using the Modified Ashworth Scale (MAS). This resulted in 1976 points of data for analysis.

Results

Spasticity was highly variable over time. The empirical correspondence between the clinician-rated MAS and the patient-rated NRS revealed that patient and examiner understanding of spasticity were diverged considerably.

Conclusions

Clinical evaluation protocols should include patient reports on spasticity. Knowledge about patient word choice can enhance patient–provider communication.