Eriksson Therese, Karlström Eva, Jonsson Hans, Tham Kerstin
Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
Scand J Occup Ther. 2010;17(1):29-39. doi: 10.1080/11038120902956878.
The aim was to describe how former clients with stress-related disorders and rehabilitation team members experience the rehabilitation process, and to describe how experiences from the rehabilitation have been integrated into the former clients' everyday lives. A qualitative grounded theory approach was used. The sample consisted of seven team members working at a vocational rehabilitation clinic and eight former clients who were interviewed. The participants were involved in four different rehabilitation programmes, all of which used cognitive approaches. In addition, two of the programmes offered activities in a therapeutic garden. The result highlighted experiences that might have contributed to changes in the former clients' self-image, development of conscious strategies for handling stressful situations, and changes in values attached to everyday occupations. In addition, two different modes of integrating experiences from rehabilitation into the former clients' everyday lives were identified: changing approaches to handling stressful situations in everyday life and changing occupational repertoire in everyday life. Important implications might be that activities which promote relaxation and enjoyment should be included in the rehabilitation of people with stress-related disorders since experiences from these activities seemed to facilitate occupational balance in everyday life.
目的是描述患有与压力相关障碍的前服务对象以及康复团队成员如何体验康复过程,并描述康复经历是如何融入前服务对象的日常生活中的。采用了定性扎根理论方法。样本包括在职业康复诊所工作的七名团队成员和八名接受访谈的前服务对象。参与者参与了四个不同的康复项目,所有项目都采用认知方法。此外,其中两个项目在治疗花园中提供活动。结果突出了可能有助于改变前服务对象自我形象、制定应对压力情况的有意识策略以及改变对日常职业所赋予价值观的经历。此外,还确定了将康复经历融入前服务对象日常生活的两种不同模式:改变日常生活中应对压力情况的方法以及改变日常生活中的职业技能。重要的启示可能是,促进放松和享受的活动应纳入患有与压力相关障碍者的康复过程,因为这些活动的经历似乎有助于日常生活中的职业平衡。