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[关注与工作相关问题的心理社会患者教育小组——德国医学康复中心的一项调查结果]

[Psychosocial patient education groups focusing on work-related issues - results of a survey of German medical rehabilitation centers].

作者信息

Driesel P, Vogel H, Gerlich C, Löffler S, Lukasczik M, Wolf H-D, Schuler M, Neuderth S

机构信息

Abteilung für Medizinische Psychologie und Psychotherapie, Medizinische Soziologie und Rehabilitationswissenschaften, Universität Würzburg.

出版信息

Rehabilitation (Stuttg). 2014 Apr;53(2):81-6. doi: 10.1055/s-0033-1349140. Epub 2013 Nov 19.

Abstract

INTRODUCTION

Psychosocial patient education programs focusing on work-related issues are a core element in the German statutory pension insurance's profile of requirements (POR) regarding inpatient vocationally oriented medical rehabilitation (VOMR).

AIM

This study aims at analyzing the prevalence of patient education programs focusing on work-related issues in German rehabilitation centers with regard to their content and quality.Data were collected in a national survey on the current state of patient education within medical rehabilitation programs in Germany in 1473 inpatient and outpatient medical rehabilitation centers.

METHOD

Data were analyzed both quantitatively and qualitatively, with free text responses being assigned to categories, drawing upon criteria developed by the German Center of Patient Education and the pension insurance's POR.

RESULTS

283 of the 908 institutions participating in the survey provided information on 454 psychosocial patient education programs focusing on work-related issues. "Unemployment and job training", "work hardening", "stress"/"relaxation" were named most frequently. The criteria derived from the POR regarding group content and from the Center of Patient Education regarding group size and education methods were largely fulfilled.

CONCLUSIONS

There is a need for existing group programs in VOMR to be further manualized, evaluated and published. More patient education programs focusing on work-related issues should be developed specifically for relevant indications.

摘要

引言

关注与工作相关问题的社会心理患者教育项目是德国法定养老保险在住院职业导向型医学康复(VOMR)方面要求概况(POR)的核心要素。

目的

本研究旨在分析德国康复中心关注与工作相关问题的患者教育项目的普及情况及其内容和质量。数据收集于一项关于德国医疗康复项目中患者教育现状的全国性调查,涉及1473家住院和门诊医疗康复中心。

方法

对数据进行定量和定性分析,根据德国患者教育中心和养老保险POR制定的标准,将自由文本回复归类。

结果

参与调查的908家机构中有283家提供了454个关注与工作相关问题的社会心理患者教育项目的信息。“失业与职业培训”“工作强化训练”“压力”/“放松”被提及的频率最高。在很大程度上满足了POR中关于小组内容的标准以及患者教育中心关于小组规模和教育方法的标准。

结论

有必要对VOMR中现有的小组项目进一步进行手册化、评估和发布。应针对相关适应症专门开发更多关注与工作相关问题的患者教育项目。

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