Wallin Marjo, Talvitie Ulla, Cattan Mima, Karppi Sirkka-Liisa
Department of Health Sciences, University of Jyväskylä, Jyväskylä, Finland.
Scand J Caring Sci. 2008 Dec;22(4):543-50. doi: 10.1111/j.1471-6712.2007.00569.x.
This article aims to describe how physiotherapists working with frail older people talk about their clients. Semi-structured qualitative interviews with physiotherapists (n = 11) were audio recorded, transcribed and analysed using discourse analysis. Two accounts were identified: (i) older adults as recipients of a treatment intervention at the rehabilitation centre, with the dimensions 'a focus on physical impairments' and 'a focus on social needs' and (ii) older adults as partners in an exercise intervention to support their everyday living at home. Older adults' everyday living context was not considered in the approach where, in an isolated and objectified manner, the physiotherapists focused on physical impairments. Placing great emphasis on the clients' social needs in turn implied passive treatments. In both instances the physiotherapists' activities were focused on the present, that is, the time of the clients' stay at the rehabilitation facility, rather than on their everyday challenges at home. These aspects were taken into accounts to a greater extent when older adults were positioned as partners and functional limitations were contemplated in relation to domestic daily living.
本文旨在描述从事体弱老年人护理工作的物理治疗师如何谈论他们的客户。对11名物理治疗师进行了半结构化定性访谈，并对访谈进行了录音、转录，然后采用话语分析方法进行分析。确定了两种描述方式：（i）老年人是康复中心治疗干预的接受者，具有“关注身体损伤”和“关注社会需求”两个维度；（ii）老年人是支持其在家中日常生活的运动干预的伙伴。在物理治疗师以孤立和客观的方式专注于身体损伤的方法中，没有考虑老年人的日常生活背景。反过来，高度重视客户的社会需求意味着被动治疗。在这两种情况下，物理治疗师的活动都集中在当下，即客户在康复机构停留的时间，而不是他们在家中的日常挑战。当老年人被定位为伙伴并考虑到与家庭日常生活相关的功能限制时，这些方面会得到更大程度的考虑。
