Buma Lise Elisabeth, Vluggen Stan, Mouchaers Ines, Zwakhalen Sandra M G, Metzelthin Silke F
Care and Public Health Research Institute, Department of Health Services Research, Maastricht University, Maastricht, The Netherlands.
Living Lab in Ageing and Long-Term Care, Maastricht, the Netherlands Cicero Zorggroep, Brunssum, The Netherlands.
Int J Integr Care. 2025 Sep 10;25(3):27. doi: 10.5334/ijic.9005. eCollection 2025 Jul-Sep.
Many older individuals face complex health and social care issues that require an integrated care approach. However, current health and social care services are often fragmented in terms of financing, organisation, and delivery, and therefore do not fit the needs of older individuals. Reablement is an innovative integrated approach that aims to 'help individuals to help themselves' by providing goal-oriented, person-centred care. An interdisciplinary team works intensively with individuals towards their goals, while considering their capabilities and contextual factors.
The aim of this study was to assess the feasibility of a Dutch reablement programme in terms of acceptability, implementation, practicality, adaptation, integration, and limited efficacy. Using qualitative methods, six clients, three informal caregivers, eight care professionals, and one programme director were interviewed, complemented by data from electronic care files. Findings indicated positive stakeholder experiences.
Despite positive experiences, three key challenges emerged: 1) behaviour change; 2) in- and external interprofessional collaboration; and 3) enrolment. The study underscores the complexity of implementing and integrating reablement in community care.
Our findings offer critical insights that could guide future efforts to implement reablement programmes more effectively.
许多老年人面临复杂的健康和社会护理问题，这需要综合护理方法。然而，当前的健康和社会护理服务在资金、组织和提供方面往往分散，因此不符合老年人的需求。康复赋能是一种创新的综合方法，旨在通过提供以目标为导向、以人为本的护理来“帮助个人自助”。一个跨学科团队会与个人紧密合作以实现他们的目标，同时考虑他们的能力和背景因素。
本研究的目的是从可接受性、实施、实用性、适应性、整合性和有限疗效方面评估一项荷兰康复赋能计划的可行性。采用定性方法，对六位客户、三位非正式护理人员、八位护理专业人员和一位项目主管进行了访谈，并辅以电子护理档案中的数据。研究结果表明利益相关者有积极的体验。
尽管有积极的体验，但出现了三个关键挑战：1）行为改变；2）内部和外部跨专业协作；3）登记注册。该研究强调了在社区护理中实施和整合康复赋能的复杂性。
我们的研究结果提供了重要见解，可指导未来更有效地实施康复赋能计划的努力。
