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脊髓损伤患者对医院护理、康复及新生活状况的认知。

Spinal cord injured persons' conceptions of hospital care, rehabilitation, and a new life situation.

作者信息

Sand Asa, Karlberg Ingvar, Kreuter Margareta

机构信息

Department of Occupational Therapy at the Sahlgrenska University Hospital, Sweden.

出版信息

Scand J Occup Ther. 2006 Sep;13(3):183-92. doi: 10.1080/11038120500542187.

Abstract

BACKGROUND

The basic aim of spinal cord injury (SCI) rehabilitation is to help patients return to a life worth living. It is therefore important that the staff at spinal units and rehabilitation centres understand how the patients experience their rehabilitation and their adjustment process to the new situation.

AIM

To describe SCI persons' experiences of their rehabilitation process.

METHOD

Nineteen SCI persons were interviewed. Data from the tape-recorded interviews were analysed according to a modified descriptive version of the phenomenographic analysis process.

RESULTS

Six categories that describe the informants' conceptions of their rehabilitation process emerged: access to information, participation in planning rehabilitation, emotional support, feelings of vulnerability, adjustment to a new life situation, and emotional consequences of the injury.

CONCLUSION

Straightforward information, participation in the planning of the rehabilitation programme and emotional support were important factors influencing the rehabilitation process after the SCI. Professionals working with SCI rehabilitation should make use of patients' experiences in order to develop better rehabilitation programmes that focus on the individual needs of the patient. People are individuals and failure to take this into account can impact negatively on quality of life and the effectiveness of the rehabilitation.

摘要

背景

脊髓损伤(SCI)康复的基本目标是帮助患者回归有价值的生活。因此,脊髓损伤治疗机构和康复中心的工作人员了解患者如何体验康复过程以及他们对新状况的适应过程非常重要。

目的

描述脊髓损伤患者对其康复过程的体验。

方法

对19名脊髓损伤患者进行了访谈。根据现象学分析过程的改良描述性版本,对录音访谈的数据进行了分析。

结果

出现了六个描述受访者对其康复过程认知的类别:信息获取、参与康复计划制定、情感支持、脆弱感、适应新生活状况以及损伤带来的情感后果。

结论

直接的信息、参与康复计划制定以及情感支持是影响脊髓损伤后康复过程的重要因素。从事脊髓损伤康复工作的专业人员应利用患者的体验,制定更能关注患者个体需求的更好的康复计划。人是个体,不考虑这一点会对生活质量和康复效果产生负面影响。

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