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主导权:患者参与倦怠康复计划的体验。

Take charge: Patients' experiences during participation in a rehabilitation programme for burnout.

机构信息

Department of Community Medicine and Rehabilitation, Physiotherapy, UmeA yen University, SE- 901 87 UmeA yen, Sweden.

出版信息

J Rehabil Med. 2010 May;42(5):475-81. doi: 10.2340/16501977-0534.

DOI:10.2340/16501977-0534
PMID:20544160
Abstract

OBJECTIVE

The aim of this study was to explore the experiences of patients with burnout during a rehabilitation programme.

PATIENTS AND METHODS

Eighteen patients with burnout were interviewed at the end of a one-year rehabilitation programme. The programme consisted of 2 groups, one with a focus on cognitively-oriented behavioural rehabilitation and Qigong and 1 with a focus on Qigong alone. The interviews were analysed using the grounded theory method.

RESULTS

One core category, Take Charge, and 6 categories emerged. The core category represents a beneficial recovery process that helped the patients to take control of their lives. The common starting point for the process is presented in the 3 categories of Good encounters, Affirmation and Group cohesiveness. The categories were basic conditions for continuing development during rehabilitation. In the categories Get to know myself, How can I be the one I want to be? and Choice of track, the more group-specific tools are included, through which the patients adopted a new way of behaving.

CONCLUSION

Patients in both groups experienced group participation as being beneficial for recovery and regaining control of their lives, although in somewhat different way. An experience of affirmation and support from health professionals and group participants is of importance for beha-vioural change.

摘要

目的

本研究旨在探讨 burnout 患者在康复计划中的体验。

患者和方法

对 18 名 burnout 患者在为期一年的康复计划结束时进行了访谈。该计划由两组组成,一组侧重于认知导向的行为康复和气功,另一组仅侧重于气功。使用扎根理论方法对访谈进行了分析。

结果

出现了一个核心类别“掌控”和 6 个类别。核心类别代表了有益的康复过程,帮助患者掌控自己的生活。这一过程的共同起点体现在三个类别中,分别是“好的相遇”、“肯定”和“团队凝聚力”。这些类别是康复过程中继续发展的基本条件。在“了解自己”、“我如何成为自己想成为的人?”和“选择路径”这几个类别中,纳入了更多针对特定群体的工具,患者通过这些工具采用了一种新的行为方式。

结论

尽管两组患者的康复方式有所不同,但都体验到了团体参与对恢复和重新掌控生活的益处。来自卫生专业人员和团体参与者的肯定和支持的体验对行为改变很重要。

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