- 作者：Ian Davidson ; Charlotte Wilson ; Timothy Walton ; Shirley Brissenden
- 关键词：Guillain– ; Barré ; syndrome ; Physiotherapy ; National survey ; Disability ; Fatigue
- 刊名：Physiotherapy
- 出版年：2009
- 出版时间：September 2009
- 年：2009
- 卷：95
- 期：3
- 页码：157-163
- 全文大小：188 K
ObjectiveTo discover the extent to which persons with Guillain–Barré syndrome receive treatment by a physiotherapist (as inpatients and outpatients), and to assess whether the amount of treatment received is related to outcome.Design
Survey method using self-administered questionnaires distributed through a national database.
Participants
Members of the Guillain–Barré Syndrome Support Group (n = 1535).
Main outcome measures
General patient data, general mobility, F-score, Hospital Anxiety and Depression Scale, Short Form-36 and Fatigue Severity Scale.
Results
In total, 884/1535 (58 % ) complete responses were received. Nearly 10 % of respondents had not received treatment by a physiotherapist in hospital despite their average functional level being the same as respondents who had received treatment in hospital. One-quarter of respondents said that they had not received treatment following hospital discharge despite the identification of relatively high levels of disability. Those who did not receive treatment by a physiotherapist following discharge were less severely disabled. This may indicate that physiotherapists tend to offer treatment to more severely disabled patients. The majority of patients reported disabling fatigue; whilst not statistically related to receipt of treatment by a physiotherapist, this highlights the importance of assessing fatigue in treatment plans to improve physical functioning.
Conclusion
Improvements to policy and practice can be made by widening inpatient accessibility to treatment by a physiotherapist and increasing outpatient provision of treatment for patients with Guillain–Barré syndrome of all degrees of severity.