Lindahl Marianne, Hvalsoe Berit, Poulsen Jeppe Rosengaard, Langberg Henning
Physiotherapy, Faculty of Health, University College Sealand, Naestved, Denmark.
Work. 2013;44(2):177-89. doi: 10.3233/WOR-121498.
Research in quality of rehabilitation has mostly concerned patients with chronic diseases, but the aim of the present study was to investigate what constitutes good quality in rehabilitation after a person has sustained a fracture at working age, from both patients' and therapists' perspectives.
Seven patients with bone fracture, aged 32-60 years, and 23 occupational therapists and physiotherapists from hospitals, municipalities and private practices in Denmark.
Qualitative study with in-depth semi-structured interviews. Data were analyzed according to grounded theory method.
Partnership was a central theme that was constituted by continuity of rehabilitation and therapists' use of a patient-centred approach. Patients' experiences of continuity of rehabilitation was supported, not only by organizational factors, but depended also on values constituting the patient-centred approach. Therapists used their professional network to refine the transition process from hospital into the community, but there was no co-operation between departments in the municipalities about patients' return to work.
The study suggests that patients with acute injuries need partnership, respect, and understanding through the rehabilitation course. Personal relations were important for continuity of rehabilitation (i.e. that organizational quality depended more on therapists' efforts to promote continuity for the patient than organizational tools).
康复质量研究大多关注慢性病患者，但本研究旨在从患者和治疗师的角度调查工作年龄骨折患者康复中的优质要素。
7名年龄在32至60岁之间的骨折患者，以及来自丹麦医院、市政当局和私人诊所的23名职业治疗师和物理治疗师。
采用深入半结构化访谈的定性研究方法。数据根据扎根理论方法进行分析。
伙伴关系是一个核心主题，由康复的连续性和治疗师采用以患者为中心的方法构成。患者对康复连续性的体验不仅得到组织因素的支持，还取决于构成以患者为中心方法的价值观。治疗师利用其专业网络优化从医院到社区的过渡过程，但市政当局各部门之间在患者重返工作方面没有合作。
该研究表明，急性损伤患者在康复过程中需要伙伴关系、尊重和理解。人际关系对康复的连续性很重要（即组织质量更多地取决于治疗师为患者促进连续性的努力，而不是组织工具）。
