职业治疗师对中风后意识受限患者进行康复治疗的经验
Occupational therapists' experiences of rehabilitation of patients with limited awareness after stroke.
作者信息
Lindström Ann-Charlotte, Eklund Kajsa, Billhult Annika, Carlsson Gunnel
机构信息
Department of Rehabilitation, NärRehab Primärvården Södra Älvsborg, Alingsås, Sweden.
出版信息
Scand J Occup Ther. 2013 Jul;20(4):264-71. doi: 10.3109/11038128.2012.758778. Epub 2013 Jan 21.
AIM
The aim of this study was to describe occupational therapists' experiences of rehabilitation of patients with limited awareness after stroke.
METHODS
To capture occupational therapists' experiences, a qualitative approach was chosen using five focus groups consisting of 22 participants engaged in group discussions with open-ended questions based on the aim. Discussions were taped, transcribed verbatim, and analysed according to Kreuger's method. The analysis revealed one general description, constant adjustment, with three themes emerging during the analysis: adjustments in choice of activity, adjustments in choice of environment, and therapeutic adjustments. These themes interacted and were dependent on the desired effect of the interventions. Adjustments were made continuously depending on their effect. The occupational therapists strove for patients to avoid unnecessary risks, make realistic decisions, and live as independently as possible.
目的
本研究旨在描述职业治疗师对中风后意识受限患者进行康复治疗的经验。
方法
为了解职业治疗师的经验，采用了定性研究方法，通过五个焦点小组进行研究，22名参与者基于研究目的参与了开放式问题的小组讨论。讨论进行了录音，逐字转录，并根据克鲁格的方法进行分析。分析得出了一个总体描述，即持续调整，分析过程中出现了三个主题：活动选择的调整、环境选择的调整和治疗调整。这些主题相互作用，并取决于干预措施的预期效果。根据效果不断进行调整。职业治疗师努力让患者避免不必要的风险，做出现实的决策，并尽可能独立生活。
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