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参与性职业与中风高危人群:健康悖论。

Engaging occupations among persons at risk for stroke: A health paradox.

机构信息

Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy, Karolinska Institutet, Huddinge, Sweden.

Unit for Research, Education, Development, and Innovation, Stockholms Sjukhem Foundation, Stockholm, Sweden.

出版信息

Scand J Occup Ther. 2022 Feb;29(2):116-125. doi: 10.1080/11038128.2020.1829036. Epub 2020 Oct 6.

Abstract

BACKGROUND

An occupational perspective in stroke prevention could support sustainable changes in habits and routines that could contribute to reduce modifiable risk factors.

AIM

To explore engaging occupation in relation to risk for stroke by drawing on experiences from everyday life among persons with a heightened risk for stroke.

MATERIAL AND METHODS

Interviews from 14 persons with an increased risk for stroke were analysed by a constant comparative approach.

FINDINGS

The analysis resulted in the core category; The paradox involved aspects of engaging occupations that could provide well-being and at the same time were compromising considering stroke health.

CONCLUSIONS AND SIGNIFICANCE

The paradox conceptually challenges some of the core values inherent in occupational therapy regarding the relationship between engaging occupations, health and well-being. Gaining a deeper understanding of experiences of occupations and studying this in relation to health promoting or compromising characteristics of occupations, can facilitate lifestyle programs that support changes in everyday life. Moreover, programs need to be designed to offer personal relevance and to facilitate a positive balance between health compromising occupations and health promoting occupations in everyday life.

摘要

背景

从职业角度预防中风,可以支持习惯和日常生活规律的可持续改变,从而有助于减少可改变的风险因素。

目的

通过借鉴高风险人群日常生活中的经验,探讨与中风风险相关的参与职业。

材料与方法

采用恒定性比较方法对 14 名高风险中风患者的访谈进行分析。

结果

分析结果得出核心类别:参与职业的悖论涉及到一些可以带来幸福感的方面,但同时考虑到中风健康,这些方面又具有一定的风险。

结论和意义

这个悖论概念上挑战了职业治疗中关于参与职业、健康和幸福感之间关系的一些核心价值观。深入了解职业体验,并研究其与促进健康或损害职业特征的关系,可以促进支持日常生活中改变的生活方式计划。此外,需要设计方案以提供个人相关性,并促进日常生活中健康损害职业和促进健康职业之间的积极平衡。

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