Holliday R C, Ballinger C, Playford E D
Institute of Neurology, University College London, UK.
Disabil Rehabil. 2007 Mar 15;29(5):389-94. doi: 10.1080/09638280600841117.
Goal setting has been described as the core skill of rehabilitation professionals, but there is little information about patients understanding of goal setting. This study explored how in-patients with neurological impairments experienced two different types of goal setting and identified the issues that underpin individuals' experience of goal setting.
The study took place in a neurological rehabilitation unit in which two approaches to goal setting were being used that differed in the amount of patient involvement. A qualitative research design was adopted. Six focus groups were convened, three for participants experiencing usual participation and three for those with increased involvement in goal setting. A total of 28 participants (12 women, mean age 49 years) with a variety of deficits were recruited to the study over nine months. Thematic analysis was used to analyse the focus group transcripts.
Four themes were identified which impact on the ways in which in-patients make sense of goal setting: The rehabilitation process; personal response to goal setting; previous experience and disease limitations.
Healthcare professionals working in rehabilitation need to explore patients' understandings of their disease and their experiences and expectations of goal setting to ensure goal setting is a meaningful activity.
目标设定被描述为康复专业人员的核心技能，但关于患者对目标设定的理解的信息却很少。本研究探讨了患有神经功能障碍的住院患者如何体验两种不同类型的目标设定，并确定了支撑个体目标设定体验的问题。
该研究在一个神经康复单元进行，其中使用了两种目标设定方法，患者参与程度不同。采用了定性研究设计。召集了六个焦点小组，三个针对经历常规参与的参与者，三个针对目标设定参与度增加的参与者。在九个月的时间里，共有28名有各种缺陷的参与者（12名女性，平均年龄49岁）被招募到该研究中。采用主题分析法对焦点小组的记录进行分析。
确定了四个影响住院患者理解目标设定方式的主题：康复过程；对目标设定的个人反应；既往经历和疾病限制。
从事康复工作的医疗保健专业人员需要探索患者对其疾病的理解以及他们对目标设定的体验和期望，以确保目标设定是一项有意义的活动。
