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一个针对社区康复男性的目标导向木工小组——一个试点项目。

A goal-directed woodwork group for men in community rehabilitation--A pilot project.

作者信息

Fulton Shelley, Clohesy Daniel, Wise Francis M, Woolley Kerryn, Lannin Natasha

机构信息

Central Adelaide Local Health Network, SA Health, Rehabilitation in the home, Adelaide, South Australia, Australia.

Faculty of Health Sciences, School of Allied Health, Australian Catholic University, Melbourne, Victoria, Australia.

出版信息

Aust Occup Ther J. 2016 Feb;63(1):29-36. doi: 10.1111/1440-1630.12242. Epub 2015 Nov 26.

Abstract

AIMS

Male clients who attend community rehabilitation programs often have low engagement in meaningful occupations and thus suffer a disconnect with their community. The primary aim of this mixed methods study was to explore the feasibility of using a therapeutic woodwork group to engage male clients in community rehabilitation.

METHOD

In the context of a community rehabilitation setting, fourteen clients attended an 8-week woodwork group to engage in meaningful projects developed with an occupational therapist to achieve specific goals. The group also aimed to encourage male peer support and interaction in an outpatient group setting. Clients identified three rehabilitation goals which guided their rehabilitation intervention. Goal achievement was rated pre- and post-group using the Goal Attainment Scale; one of two Quality of Life scales were administered to measure change in self-reported quality of life. Participants were interviewed pre- and post-group to measure woodwork experience and the group process.

RESULTS

Results from the pilot project indicate that 85.7% of clients attained their expected level of goal achievement or higher on set rehabilitation goals. Consistent positive feedback was received from those who attended the group, particularly in the area of skill development and socialisation, although patients reported minimal changes in quality of life from baseline to end-of-group (P > 0.05).

CONCLUSION

There remains an unmet need for meaningful engagement for men in the community who are not currently engaged in paid work. Community-based occupational therapy programs have the opportunity to play an important role in engaging clients in meaningful occupations, including woodwork, which was shown to increase socialisation and lead to goal attainment in our small sample. Future research should explore if rehabilitation woodwork groups can assist people to transition to participate in community-based Men's Sheds.

摘要

目的

参加社区康复项目的男性客户通常对有意义的活动参与度较低,因此与社区脱节。这项混合方法研究的主要目的是探讨使用木工治疗小组让男性客户参与社区康复的可行性。

方法

在社区康复环境中,14名客户参加了一个为期8周的木工小组,参与与职业治疗师共同制定的有意义的项目以实现特定目标。该小组还旨在鼓励在门诊小组环境中男性同伴之间的支持和互动。客户确定了三个康复目标,这些目标指导了他们的康复干预。使用目标达成量表在小组前后对目标达成情况进行评分;使用两个生活质量量表之一来测量自我报告的生活质量变化。在小组前后对参与者进行访谈,以衡量木工体验和小组过程。

结果

试点项目的结果表明,85.7%的客户在设定的康复目标上达到或超过了预期的目标达成水平。参加小组的人给出了一致的积极反馈,特别是在技能发展和社交方面,尽管患者报告从基线到小组结束时生活质量变化不大(P>0.05)。

结论

对于目前未从事有偿工作的社区男性来说,仍存在对有意义参与的未满足需求。基于社区的职业治疗项目有机会在让客户参与有意义的活动方面发挥重要作用,包括木工,在我们的小样本中,木工活动显示出能增加社交并实现目标。未来的研究应探索康复木工小组是否能帮助人们过渡到参与基于社区的男性工作间活动。

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