ArticlePloS one2025
Medical staff's perspectives on patients' anxieties and interventions in a rehabilitation ward: A qualitative study.
Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundAnxiety and depression in rehabilitation patients can adversely impact clinical outcomes. They may have anxieties about the differences in their physical conditions and living environments compared to before hospitalization. Although medical staff address patients' anxieties, the content of anxieties and the type of intervention have not been clarified. This study aimed to highlight the contents of anxieties and interventions for patients undergoing rehabilitation, based on medical staff's perspectives.
methodsSeventeen medical staff were interviewed about the anxieties they perceived patients experience at the convalescent rehabilitation ward (early, middle, and late phases of hospitalization) and the corresponding interventions. Text mining and hierarchical cluster analysis were used to classify the contents of anxieties and interventions. This study was conducted based on the consolidated criteria for reporting qualitative research.
resultsPatients' anxieties were classified into six clusters. Among the clusters, prospects for rehabilitation plans, hospital life (e.g., unfamiliar hospital environment), and family situation (e.g., concerns about family life at home) were identified in the early to middle phases, and life at home after discharge was identified in the late phase. The prognosis of physical function and prospects of social life (e.g., return to work) were identified throughout all phases. The types of interventions for these anxieties were classified into eight clusters. The medical staff provided information about patients' prospects and helped them contact family members in the early phase. In the middle phase, feedback on patients' improvement in physical function was incorporated. In the late phase, information on social resources was provided to address anxieties about life after discharge.
conclusionThis study showed that patients' anxiety and interventions varied according to hospitalization phases. The findings underscore appropriate ways and the timing of interventions to keep patients in a better psychological state, potentially leading to better rehabilitation outcomes.
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