Bjørkedal S T B, Torsting A M B, Møller T
a Mental Health Centre Copenhagen, Mental Health Services, Capital Region of Denmark , Gentofte , Denmark ;
b UCSF Rigshospitalet , Copenhagen , Denmark.
Scand J Occup Ther. 2016;23(2):97-106. doi: 10.3109/11038128.2015.1082624. Epub 2015 Oct 15.
The purpose of this study, by exploring client perspectives, was to achieve a better understanding of how people with schizophrenia experience an occupational therapy intervention designed to enable them to carry out meaningful occupations in the early phases of recovery.
A qualitative design comprising an eight-week client-centred occupational therapy intervention with semi-structured interviews with five of the six clients out of 10 who completed the intervention. Braun and Clark's thematic analysis was applied to the transcripts. Adherence rate and dropouts were recorded in a logbook. The Canadian Occupational Performance Measure was used to initiate and guide the intervention and the Canadian Model of Client-Centred Enablement for the client-therapist relationship.
Participants described the intervention, which presupposed a certain level of patient readiness, as demanding. Participants valued engaging in real-life occupations while anchoring new strategies but also the occupational therapist's role in dealing with failure. Participants felt the intervention assisted in their recovery process and enabled them to engage in meaningful occupations.
The study provided unique insight into how participants experienced a client-centred partnership with an occupational therapist in the early phases of recovery. The intervention was feasible and supported the participants' recovery process.
本研究旨在通过探索服务对象的观点，更好地了解精神分裂症患者如何体验一项职业治疗干预措施，该干预旨在使他们在康复早期能够从事有意义的活动。
采用质性设计，包括为期八周的以服务对象为中心的职业治疗干预，并对完成干预的10名服务对象中的6名进行半结构化访谈，其中5名服务对象参与了访谈。对访谈记录采用布劳恩和克拉克的主题分析法进行分析。依从率和退出情况记录在日志中。使用加拿大职业表现测量工具启动并指导干预，并运用加拿大以服务对象为中心的赋能模式指导服务对象与治疗师的关系。
参与者将这项需要患者具备一定准备程度的干预描述为要求较高。参与者重视在采用新策略的同时参与现实生活中的活动，也重视职业治疗师在应对失败方面的作用。参与者认为该干预有助于他们的康复过程，并使他们能够从事有意义的活动。
该研究为了解参与者在康复早期如何体验与职业治疗师建立以服务对象为中心的伙伴关系提供了独特的见解。该干预是可行的，并支持了参与者的康复过程。
