老年人在个性化癌症康复过程中的目标达成与目标调整
Goal Attainment and Goal Adjustment of Older Adults During Person-Directed Cancer Rehabilitation.
作者信息
Lyons Kathleen Doyle, Newman Robin M, Kaufman Peter A, Bruce Martha L, Stearns Diane M, Lansigan Frederick, Chamberlin Mary, Bartels Stephen J, Whipple Jessica, Hegel Mark T
机构信息
Kathleen Doyle Lyons, ScD, OTR/L, is Assistant Professor, Department of Psychiatry, Geisel School of Medicine, Dartmouth College, Hanover, NH, and Scientist, Norris Cotton Cancer Center, Dartmouth-Hitchcock Medical Center, Lebanon, NH;
Robin M. Newman, OTD, OTR/L, CLT, is Clinical Assistant Professor, Department of Occupational Therapy, College of Health and Rehabilitation Sciences: Sargent College, Boston University, Boston, MA.
出版信息
Am J Occup Ther. 2018 Mar/Apr;72(2):7202205110p1-7202205110p8. doi: 10.5014/ajot.2018.023648.
OBJECTIVE
In this pilot study of a home-based occupational therapy intervention intended to reduce disability and improve quality of life, our objective was to identify rates of goal attainment and patterns of goal adjustment of participants.
METHOD
Thirty older adults with cancer were randomized to the intervention arm, and 24 participants identified goals and completed the six-session intervention. An exploratory content analysis of qualitative and quantitative session data was performed.
RESULTS
Participants set 63 6-wk goals and attained 62% of them. Most of the goals addressed walking (28%), sedentary leisure (24%), exercising (16%), or instrumental activities of daily living (14%). When 6-wk goals were not attained (n = 24), there were 10 instances of goal disengagement and 14 instances of goal reengagement.
CONCLUSION
Although most participants were able to meet their goals, many also changed their goals and priorities after reflection and attempts to resume or initiate meaningful activities.
目的
在这项旨在减少残疾并改善生活质量的居家职业治疗干预的试点研究中，我们的目标是确定参与者的目标达成率和目标调整模式。
方法
30名老年癌症患者被随机分配到干预组，24名参与者确定了目标并完成了为期六节的干预。对定性和定量的课程数据进行了探索性内容分析。
结果
参与者设定了63个为期6周的目标，其中62%得以实现。大多数目标涉及步行（28%）、久坐休闲（24%）、锻炼（16%）或日常生活工具性活动（14%）。当为期6周的目标未达成时（n = 24），有10次目标放弃和14次目标重新参与的情况。
结论
尽管大多数参与者能够实现他们的目标，但许多人在反思并尝试恢复或开展有意义的活动后，也改变了他们的目标和优先事项。
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