Skubik-Peplaski Camille, Howell Dana, Harrison Anne
1Department of Occupational Therapy, Eastern Kentucky University, Camille, Richmond, USA.
Occup Ther Health Care. 2014 Oct;28(4):431-43. doi: 10.3109/07380577.2014.921751. Epub 2014 May 27.
This descriptive case study illustrates the experiences of a 55-year-old male with a chronic disability resulting from a stroke, living in the community and a clinician's trial using occupation-based interventions predominately in a rehabilitation setting. The participant engaged in occupation-based interventions three times a week for 5 weeks guided by the Canadian Occupational Performance Measure (COPM). Data were collected through semi-structured interviews during the intervention sessions and journal entries made by the therapist. Results suggested occupation-based interventions facilitated a transformation for both the client and the therapist by enhancing the participant's occupational performance and the ability to resume previous roles. The therapist's belief in the power and value of occupation-based practice was reinforced and validated, particularly in the rehabilitation of an individual with chronic stroke.
本描述性案例研究阐述了一名55岁男性的经历，他因中风导致慢性残疾，居住在社区，以及一名临床医生在康复环境中主要使用基于职业的干预措施进行的试验。参与者在加拿大职业表现测量量表（COPM）的指导下，每周进行三次基于职业的干预，持续5周。在干预期间通过半结构化访谈以及治疗师撰写的日志条目收集数据。结果表明，基于职业的干预通过提高参与者的职业表现以及恢复以前角色的能力，促进了服务对象和治疗师的转变。治疗师对基于职业的实践的力量和价值的信念得到了加强和验证，尤其是在慢性中风患者的康复中。
