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重返活动:探索门诊成人脑震荡康复中的职业治疗。

Return-to-Activity: Exploration of Occupational Therapy in Outpatient Adult Concussion Rehabilitation.

机构信息

Creighton University, Omaha, NE, USA.

Courage Kenny Research/Allina Health, Minneapolis, MN, USA.

出版信息

OTJR (Thorofare N J). 2022 Oct;42(4):333-343. doi: 10.1177/15394492221108649. Epub 2022 Jul 17.

Abstract

Literature is sparse related to how occupational therapy advances symptom management and role-activity resumption after concussion. We aim to describe the occupational therapy process of evaluation and intervention for adults with a history of concussion(s) and persisting symptoms. The qualitative descriptive study used focus groups of expert occupational therapy practitioners across practice settings. Content analysis with a deductive strategy, open coding, and an unconstrained matrix was used to determine the process portion of a logic model outlining how expert practitioners framed their approach to rehabilitation. Thirteen expert occupational therapy practitioners informed the development of a logic model describing the occupational therapy process linking resources to activities of evaluation and intervention enabling people to return to their everyday life roles at their highest capacity. This study yields a description of how occupational therapy practitioners, across practice settings, aid individuals in returning to everyday activities and life roles after concussion(s).

摘要

文献对于职业治疗如何在脑震荡后改善症状管理和角色活动恢复方面的相关内容较少。我们旨在描述有脑震荡病史和持续症状的成年人的职业治疗评估和干预过程。本定性描述性研究使用了来自不同实践环境的专家职业治疗从业者的焦点小组。采用演绎策略、开放式编码和无约束矩阵的内容分析,确定了逻辑模型的过程部分,该模型概述了专家从业者如何构建其康复方法。13 名专家职业治疗从业者为逻辑模型的开发提供了信息,该模型描述了职业治疗过程,将资源与评估和干预活动联系起来,使人们能够以最高能力恢复到日常生活角色。本研究描述了职业治疗从业者如何在脑震荡后帮助个人恢复日常活动和生活角色。

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