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中风后轻度认知功能受限者乘坐当地公共交通工具出行的促进因素。

Facilitators for travelling with local public transport among people with mild cognitive limitations after stroke.

作者信息

Ståhl Agneta, Månsson Lexell Eva

机构信息

a Department of Technology and Society, Faculty of Engineering , Lund University , Lund , Sweden.

b Department of Health Sciences , Lund University , Lund , Sweden.

出版信息

Scand J Occup Ther. 2018 Mar;25(2):108-118. doi: 10.1080/11038128.2017.1280533. Epub 2017 Jan 24.

Abstract

INTRODUCTION

Previous research of how people with stroke manage public transport has mainly focused on barriers due to physical limitations whereas the influence of cognitive limitations is scarce. There is also a lack of knowledge of facilitators that can help to overcome these barriers. The aim of this study was to describe facilitators for travelling with public transport, e.g. local buses, among people with mild cognitive limitations after stroke.

METHODS

A multiple case study research design was used, where quantitative and qualitative data were utilized, and analysed according to a mixed methods design.

FINDINGS

The case descriptions reveal how people with mild cognitive limitations after stroke manage their trips but constantly have to be prepared to solve problems to unexpected events. Personal characteristics and other individual strategies together with support and solutions from society were important facilitators for travelling with bus.

DISCUSSION

This study takes a new approach by specifically describing facilitators for travelling with public transport among people with mild cognitive limitations after stroke. To facilitate participation in society for this particular traveller group, occupational therapists have an important role when new technology and interventions that target bus travels, and other modes of transport are developed.

摘要

引言

先前关于中风患者如何使用公共交通的研究主要集中在身体限制造成的障碍上,而认知限制的影响则很少被关注。对于有助于克服这些障碍的促进因素也缺乏了解。本研究的目的是描述中风后有轻度认知限制的人群使用公共交通出行(如乘坐当地公交车)的促进因素。

方法

采用多案例研究设计,运用定量和定性数据,并根据混合方法设计进行分析。

结果

案例描述揭示了中风后有轻度认知限制的人群如何管理他们的出行,但必须时刻准备好解决意外事件带来的问题。个人特征和其他个人策略,以及社会的支持和解决方案是乘坐公交车出行的重要促进因素。

讨论

本研究采用了一种新方法,专门描述中风后有轻度认知限制的人群使用公共交通出行的促进因素。为了促进这一特定出行群体融入社会,在开发针对公交车出行和其他交通方式的新技术及干预措施时,职业治疗师具有重要作用。

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