Stoke Mandeville Hospital, Aylesbury, United Kingdom.
Top Stroke Rehabil. 2009 Nov-Dec;16(6):411-9. doi: 10.1310/tsr1606-411.
Goal planning is one of the most universal approaches in rehabilitation, yet its application is much more than just setting specific behavior-focused goals. This article aims to emphasize the fundamental aspects of the process and reference the key literature in the area. At its heart, goal planning is about producing lasting behavior change, and the central role of the patient in the assessment and rehabilitation process is highlighted throughout. The team-based nature of assessment is promoted and the benefit of measuring verbal (a patient's knowledge of his or her condition and ability to instruct others in its management) as well as physical capability, as incorporated by one of the measures, is discussed. A hierarchical approach to the setting of goals is suggested so that individual patient need can be reflected in the process rather than setting goals which centre on specific professional skills. The article provides information about the long-term benefits for the patient and service that arise from this change of emphasis and maps the goal-planning process onto an adjustment model. Practical case examples of patient involvement in the assessment and goal-setting process are given.
目标规划是康复中最普遍的方法之一，但它的应用不仅仅是设定具体的以行为为重点的目标。本文旨在强调这一过程的基本方面，并参考该领域的主要文献。从本质上讲，目标规划是为了产生持久的行为改变，并且强调了患者在评估和康复过程中的核心作用。提倡以团队为基础进行评估，并讨论了一种措施中纳入的测量言语（患者对自身状况的了解程度以及指导他人进行管理的能力）和身体能力的好处。建议采用分层方法来设定目标，以便在该过程中反映出每个患者的具体需求，而不是设定以特定专业技能为中心的目标。本文提供了关于这种重点转变对患者和服务带来的长期益处的信息，并将目标规划过程映射到调整模型上。还给出了患者参与评估和目标设定过程的实际案例示例。
