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[医学康复中的自主决定权——构建用于深入理论探讨的概念模型]

[Self-Determination in Medical Rehabilitation - Development of a Conceptual Model for Further Theoretical Discussion].

作者信息

Senin Tatjana, Meyer Thorsten

机构信息

Integrative Rehabilitationsforschung, Institut für Epidemiologie, Sozialmedizin und Gesundheitssystemforschung, Medizinische Hochschule Hannover.

Forschungsbereich Rehabilitative Versorgungsforschung, Fakultät für Gesundheitswissenschaften, Universität Bielefeld.

出版信息

Rehabilitation (Stuttg). 2019 Feb;58(1):15-23. doi: 10.1055/s-0043-121808. Epub 2018 Jan 22.

Abstract

AIM

Aim was to gather theoretical knowledge about self-determination and to develop a conceptual model for medical rehabilitation- which serves as a basis for discussion.

METHODS

We performed a literature research in electronic databases. Various theories and research results were adopted and transferred to the context of medical rehabilitation and into a conceptual model.

RESULTS

The conceptual model of self-determination reflects on a continuum which forms of self-determination may be present in situations of medical rehabilitation treatments. The location on the continuum depends theoretically on the manifestation of certain internal and external factors that may influence each other.

CONCLUSIONS

The model provides a first conceptualization of self-determination focusing on medical rehabilitation which should be further refined and tested empirically.

摘要

目的

旨在收集有关自我决定的理论知识,并开发一个医学康复的概念模型,作为讨论的基础。

方法

我们在电子数据库中进行了文献研究。采用了各种理论和研究结果,并将其应用于医学康复背景中,形成一个概念模型。

结果

自我决定的概念模型反映了一个连续体,即在医学康复治疗情境中可能存在哪些自我决定的形式。在这个连续体上的位置理论上取决于某些可能相互影响的内部和外部因素的表现。

结论

该模型提供了一个聚焦于医学康复的自我决定的初步概念化,应进一步完善并进行实证检验。

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