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缺乏时间和依赖他人:职业治疗师为痴呆症患者规定时间辅助技术的经验。

Lack of time and dependence on significant others: Occupational therapists´ experiences of prescribing time assistive technology for persons with dementia.

机构信息

Department of Clinical Sciences, Karolinska Institutet, Stockholm, Sweden.

Department of Rehabilitation Medicine, Danderyd University Hospital, Stockholm, Sweden.

出版信息

Scand J Occup Ther. 2020 Nov;27(8):614-624. doi: 10.1080/11038128.2020.1751875. Epub 2020 May 1.

Abstract

: There is lack of knowledge on how occupational therapists (OTs) assess daily time management (DTM) for persons with dementia (PwDs) and on which aspects affect prescription of time assistive technology (AT).: To explore OTs' experiences of assessing the need for and prescribing time AT for PwDs.: Focus group interviews with OTs that prescribe time AT for PwDs analyzed via qualitative content analysis.: A main category and four categories were identified. The categories illustrated a complex and time-consuming prescription process, which was facilitated if the PwD was supported by a significant other (SO). Support from a SO was especially important during implementation and follow-up. OTs had to take individual responsibility for staying informed about time AT. Organizational limitations and time constraints were barriers for OTs striving to work according to national prescription guidelines.: High demands are made on SO's participation during the prescription process. PwDs with no support from SOs are at risk not receiving or fully benefitting from time AT. To avoid inequalities, specific forms of support need to be developed and targeted at PwDs without SOs to ensure that they have sufficient opportunities to access and use time AT.

摘要

职业治疗师(OT)在评估痴呆症患者(PwD)的日常时间管理(DTM)以及哪些方面影响时间辅助技术(AT)的处方方面知之甚少。

目的

探讨职业治疗师评估 PwD 对时间 AT 的需求并开具时间 AT 处方的经验。

方法

对为 PwD 开具时间 AT 处方的 OT 进行焦点小组访谈,采用定性内容分析法进行分析。

结果

确定了一个主要类别和四个类别。这些类别说明了一个复杂且耗时的处方过程,如果 PwD 得到重要他人(SO)的支持,这个过程会更加顺利。SO 的支持在实施和随访期间尤为重要。OT 必须承担起了解时间 AT 的责任。组织限制和时间限制是 OT 努力按照国家处方指南工作的障碍。

结论

对 SO 参与处方过程的要求很高。没有 SO 支持的 PwD 有无法获得或无法充分受益于时间 AT 的风险。为避免不平等,需要针对没有 SO 的 PwD 开发特定形式的支持,以确保他们有足够的机会获得和使用时间 AT。

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