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一项合资企业:风湿病康复中患者对目标设定的体验——一项定性研究。

A joint venture: patients' experiences with goal setting in rheumatology rehabilitation - a qualitative study.

机构信息

Danish Hospital for Rheumatic Diseases, University Hospital of Southern Denmark, Sønderborg, Denmark.

Department of Regional Health Research, University of Southern Denmark, Odense, Denmark.

出版信息

Disabil Rehabil. 2024 Dec;46(24):5829-5837. doi: 10.1080/09638288.2024.2313122. Epub 2024 Feb 20.

DOI:10.1080/09638288.2024.2313122
PMID:38375771
Abstract

PURPOSE

To explore how patients with rheumatic musculoskeletal diseases (RMDs) perceive participation in the goal setting process prior to interdisciplinary rehabilitation.

METHODS

We conducted semi-structured interviews with 22 participants admitted to an interdisciplinary rehabilitation stay for patients with RMDs at two Danish rehabilitation centres. Qualitative content analysis was applied.

RESULTS

The participants perceived goal setting as a joint venture between two parties: the health professionals and the participant. Three categories were formed, which described both facilitators and barriers in the process. described the importance of shared responsibility, or health professionals as experts, taking full responsibility for goal setting. included perceptions of being well prepared for the process, or considerations that goal setting was difficult because of a lack of information. entailed both the feeling of being recognised as one in the team, or feeling like an outsider.

CONCLUSION

Goal setting is perceived as a challenge by some patients. Participation in goal setting depends on both the capacity and the opportunity to participate which are factors linked to patients' level of health literacy.

摘要

目的

探讨风湿性肌肉骨骼疾病(RMD)患者在接受跨学科康复治疗前对参与目标设定过程的看法。

方法

我们对 22 名在丹麦的两个康复中心接受 RMD 患者跨学科康复治疗的患者进行了半结构化访谈。采用定性内容分析法。

结果

参与者将目标设定视为医患双方的共同努力。形成了三个类别,描述了该过程中的促进因素和障碍因素。类别描述了共同承担责任的重要性,或者健康专业人员作为专家,全权负责目标设定。类别包括对该过程有充分准备的看法,或者认为由于缺乏信息,目标设定很困难。类别涉及到在团队中被认可的感觉,或者感觉自己像个局外人。

结论

一些患者认为目标设定是一项挑战。参与目标设定取决于参与的能力和机会,这是与患者健康素养水平相关的因素。

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