Jormfeldt Henrika, Svensson Bengt, Hansson Lars, Svedberg Petra
School of Social and Health Sciences, Halmstad University, Halmstad, Sweden;
Department of Health Sciences, Lund University, Lund, Sweden.
Int J Qual Stud Health Well-being. 2014 Apr 8;9:22916. doi: 10.3402/qhw.v9.22916. eCollection 2014.
The Boston Psychiatric Rehabilitation Approach (BPR) is person-centered and characterized by being based entirely on the individual's unique needs and preferences in the areas of working, learning, social contacts, and living environment. Nevertheless, the person-centered approach is lacking firm evidence regarding outcomes, and empirical studies regarding clients' experiences of this particular model are needed. A qualitative content analysis of 10 transcribed semistructured individual interviews was used to describe and explore clients' experiences of the BPR during an implementation project in Sweden. The findings from the interviews could be summarized in "A sense of being in communion with self and others" theme, consisting of three categories: increased self-understanding, getting new perspectives, and being in a trusting relationship. The results showed that clients do not always recognize nor are able to verbalize their goals before they have been given the possibility to reflect their thoughts in collaboration with a trusted person. The guidelines of the approach are intended to support the clients' ability to participate in decision making regarding their own care. More research about efficacy of different rehabilitation approaches and exploration of fidelity to guidelines of rehabilitation programs are required.
波士顿精神康复方法（BPR）是以个人为中心的，其特点是完全基于个人在工作、学习、社交和生活环境等方面的独特需求和偏好。然而，以个人为中心的方法在结果方面缺乏确凿的证据，因此需要对客户在这种特定模式下的体验进行实证研究。在瑞典的一个实施项目中，采用了对10次转录的半结构化个人访谈进行定性内容分析的方法，以描述和探索客户对BPR的体验。访谈结果可以归纳为“与自我和他人交流的感觉”这一主题，包括三个类别：增强自我理解、获得新视角以及建立信任关系。结果表明，在客户有机会与信任的人合作反思自己的想法之前，他们并不总是能够认识到自己的目标，也无法将其表达出来。该方法的指导方针旨在支持客户参与有关自身护理的决策的能力。需要更多关于不同康复方法疗效的研究以及对康复项目指导方针忠诚度的探索。
