Unsworth C
Boston School of Occupational Therapy, Tufts University, Medford, Massachusetts 02155, USA.
Am J Occup Ther. 1996 Mar;50(3):207-16. doi: 10.5014/ajot.50.3.207.
The purpose of this research was to examine the perceptions of older persons with stroke concerning the discharge housing decisions made during their rehabilitation program. The research explored clients' locus of control, their perceptions of the role of the rehabilitation team and their family in the decision, and their perceptions of their activities of daily living skills.
Sixty-two subjects with stroke completed four measures: (a) the Functional Independence Measure (FIM), (b) a housing information questionnaire, (c) a semistructured interview, and (d) the Bialer Locus of Control Scale. Rehabilitation team members also completed the FIM and housing information questionnaire for each subject. These instruments were used to collect data relating to clients' perceptions of their functional status, discharge from the hospital, housing options available, and locus of control.
Despite the team or family opinions on discharge housing, subjects saw housing decisions as primarily their own. The majority of subjects were reluctant to consider alternatives to returning home, even though they have self-care deficits and frequently reported that the presence of a spouse and family members were important to support their return home. Subjects generally seemed unaware of the influence of team and family opinions and the impact of their functional status on their discharge housing. Subjects' locus of control seemed unrelated to satisfaction with the discharge decision process.
Clients who have had a stroke could use assistance to determine housing that is appropriate for their living skills. Discussions with clinicians concerning accommodation options may lead to a smoother transition from the hospital to longer term housing for clients after stroke.
本研究旨在调查中风老年患者对其康复计划期间做出的出院住房决策的看法。该研究探讨了患者的控制点、他们对康复团队及其家人在决策中所起作用的看法，以及他们对自己日常生活技能的看法。
62名中风患者完成了四项测评：（a）功能独立性测量（FIM），（b）住房信息问卷，（c）半结构化访谈，以及（d）比勒控制点量表。康复团队成员也为每位患者完成了FIM和住房信息问卷。这些工具用于收集与患者对其功能状态、出院、可用住房选择以及控制点的看法相关的数据。
尽管团队或家人对出院住房有意见，但患者认为住房决策主要是他们自己的。大多数患者不愿考虑回家以外的选择，尽管他们存在自我护理缺陷，且经常表示配偶和家庭成员的陪伴对他们回家很重要。患者通常似乎没有意识到团队和家人意见的影响以及他们的功能状态对出院住房的影响。患者的控制点似乎与对出院决策过程的满意度无关。
中风患者可能需要帮助来确定适合其生活技能的住房。与临床医生讨论住宿选择可能会使中风患者从医院到长期住房的过渡更加顺利。
