Patterson Freyr, Fleming Jennifer, Doig Emmah, Griffin Janelle
Occupational Therapy Department, The Princess Alexandra Hospital, Brisbane, Queensland, Australia.
The School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia.
Aust Occup Ther J. 2017 Oct;64(5):408-418. doi: 10.1111/1440-1630.12392. Epub 2017 Jun 1.
BACKGROUND/AIM: Therapy groups are commonly used in brain injury rehabilitation yet patient perceptions of participation in groups are largely uninvestigated. This paper describes the occupational therapy groups programme at an inpatient brain injury rehabilitation unit and presents an evaluation from the patient's perspective.
Participants were in patients with traumatic brain injury who participated in the groups programme and completed a customised self-report questionnaire measuring perceptions about and satisfaction with four occupational therapy groups. Data were analysed descriptively and comparisons made between groups with a functional focus (meal preparation and community access) and an impairment focus (cognitive and upper limb) using Z scores.
Thirty-five participants (30 males, five females) completed a total of 83 questionnaires. Over 90% of responses agreed or strongly agreed that working with others was enjoyable, that the groups provided feedback and individualised treatment, and were useful for them. There were no significant differences in perceptions about the functional and impairment-focussed groups. An illustrative case example of participation in the groups programme is presented.
Overall, consumer feedback on different aspects of the occupational therapy groups programme in brain injury rehabilitation was positive. Further in-depth investigation of patient perceptions of groups including processes that facilitate or challenge participation is warranted.
背景/目的：治疗小组常用于脑损伤康复，但患者对参与小组治疗的看法在很大程度上未得到研究。本文描述了一家住院脑损伤康复单元的职业治疗小组项目，并从患者角度进行了评估。
参与者为创伤性脑损伤患者，他们参加了小组项目，并完成了一份定制的自我报告问卷，该问卷测量了对四个职业治疗小组的看法和满意度。对数据进行描述性分析，并使用Z分数对以功能为重点（膳食准备和社区融入）和以损伤为重点（认知和上肢）的小组进行比较。
35名参与者（30名男性，5名女性）共完成了83份问卷。超过90%的回答同意或强烈同意与他人合作很愉快，小组提供了反馈和个性化治疗，且对他们有用。对以功能为重点和以损伤为重点的小组的看法没有显著差异。文中给出了一个参与小组项目的实例。
总体而言，脑损伤康复中职业治疗小组项目不同方面的患者反馈是积极的。有必要进一步深入研究患者对小组的看法，包括促进或阻碍参与的过程。
