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职业治疗从业者对髋部骨折患者基于活动的干预措施的看法。

Occupational Therapy Practitioners' Perspectives on Occupation-Based Interventions for Clients With Hip Fracture.

作者信息

Wong Carin, Fagan Brenda, Leland Natalie E

机构信息

Carin Wong, MS, is PhD Candidate, Mrs. T. H. Chan Division of Occupational Science and Occupational Therapy, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles;

Brenda Fagan, OTR/L, is Project Manager, Mrs. T. H. Chan Division of Occupational Science and Occupational Therapy, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles.

出版信息

Am J Occup Ther. 2018 Jul/Aug;72(4):7204205050p1-7204205050p7. doi: 10.5014/ajot.2018.026492.

Abstract

OBJECTIVE

Occupational engagement is the foundation of occupational therapy. We identified perspectives of 18 occupational therapy practitioners on integrating occupation-based interventions during postacute care (PAC) rehabilitation for persons with hip fracture to identify occupational therapy's distinct contribution.

METHOD

We conducted six focus groups derived from a purposive national sample of occupational therapy practitioners (N = 18). A secondary analysis was conducted to analyze the transcripts for major subthemes around occupation-based interventions.

RESULTS

Three major themes arose from practitioners' perspectives regarding the role of occupation in rehabilitation: (1) conducting an occupational profile, (2) integrating occupation-based intervention in the facility, and (3) identifying goals for occupational engagement after discharge. Challenges and strategies for integrating occupation-based interventions were also identified.

CONCLUSION

Identifying practitioners' perspectives on integrating occupation into rehabilitation may inform strategies to facilitate occupation-based interventions in PAC and define occupational therapy's role in this setting.

摘要

目的

职业参与是职业治疗的基础。我们确定了18名职业治疗从业者对于在髋部骨折患者的急性后期护理(PAC)康复期间整合基于职业的干预措施的看法,以确定职业治疗的独特贡献。

方法

我们对来自全国有目的抽样的职业治疗从业者(N = 18)进行了六个焦点小组访谈。进行了二次分析,以分析围绕基于职业的干预措施的主要子主题的记录。

结果

从业者对于职业在康复中的作用的看法产生了三个主要主题:(1)进行职业概况评估,(2)在机构中整合基于职业的干预措施,以及(3)确定出院后职业参与的目标。还确定了整合基于职业的干预措施的挑战和策略。

结论

确定从业者对于将职业融入康复的看法可能为促进PAC中基于职业的干预措施的策略提供信息,并界定职业治疗在这种情况下的作用。

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本文引用的文献

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Occupational Engagement and Adults With Intellectual Disabilities.职业参与与成年智障人士
Am J Occup Ther. 2016 Jan-Feb;70(1):7001350030p1-6. doi: 10.5014/ajot.2016.016576.
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Volume Matters: Returning Home After Hip Fracture.容量至关重要:髋部骨折后回家
J Am Geriatr Soc. 2015 Oct;63(10):2043-51. doi: 10.1111/jgs.13677. Epub 2015 Oct 1.
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A fork in the road: an occupational hazard?道路分岔处:职业危害?
Am J Occup Ther. 2013 Nov-Dec;67(6):641-52. doi: 10.5014/ajot.2013.676002.
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Postacute rehabilitation care for hip fracture: who gets the most care?髋部骨折的后期康复治疗:谁得到的护理最多?
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