Cederlund Ragnhild, Thorén-Jönsson Anna-Lisa, Dahlin Lars B
Department of Health Sciences, Division of Occupational Therapy and Gerontology, Lund University, Sweden.
Occup Ther Int. 2010 Mar;17(1):1-9. doi: 10.1002/oti.287.
Coping strategies used in performing daily occupations 3 months after a severe or major hand injury were explored. A semi-structured interview was performed with 13 participants with hand injuries based on Hand Injury Severity Scoring System and analysed using content analysis. Six groups of strategies were identified: 'Changing performance of daily occupations', 'Actively processing trauma experience', 'Changing occupational patterns', 'Receiving assistance', 'Using emotional strategies' and 'Keeping up a social network'. The problem- and emotional-solving strategies identified in this study can be used to support other patients early in rehabilitation. Patients with few coping strategies should be recognized. Information and practical handouts to patients, therapists and relatives should stimulate and help patients with hand problems enabling in meaningful occupations and preventing unnecessary stress. Furthermore, social support should be encouraged and family should be actively involved in rehabilitation. To insure trustworthiness, member checks were used on four randomly selected participants, but could possibly be used with all participants. Further research is needed in a longitudinal study to explore which coping strategies or adaptation patients use to perform daily occupations at a later stage.
本研究探讨了严重或重度手部损伤3个月后，在进行日常活动时所采用的应对策略。基于手部损伤严重程度评分系统，对13名手部受伤的参与者进行了半结构化访谈，并采用内容分析法进行分析。确定了六组策略：“改变日常活动的执行方式”、“积极处理创伤经历”、“改变职业模式”、“接受帮助”、“运用情绪策略”和“维持社交网络”。本研究中确定的问题解决和情绪解决策略可用于在康复早期支持其他患者。应识别出应对策略较少的患者。向患者、治疗师和亲属提供信息及实用手册，应能激励并帮助手部有问题的患者从事有意义的活动，并防止不必要的压力。此外，应鼓励社会支持，家庭应积极参与康复过程。为确保可信度，对四名随机选择的参与者进行了成员核对，但也可对所有参与者使用。需要在纵向研究中进一步探索，以了解患者在后期进行日常活动时会采用哪些应对策略或适应方式。
