关键词: Cross-sectoral rehabilitation coordination health care professionals involvement mild stroke

来  源:   DOI:10.1080/09638288.2024.2302560

Abstract:
UNASSIGNED: To meet the needs of people with mild stroke, multidisciplinary, person-centred, cross-sectoral rehabilitation is internationally recommended. However, there seem to be gaps in the rehabilitation process. The aim of this study was to investigate how occupational therapists and physiotherapists experience working in cross-sectoral rehabilitation for people with mild stroke.
UNASSIGNED: Data were generated through interviews with occupational therapists and physiotherapists working in four different Danish rehabilitation settings. Four group interviews and two individual interviews with a total of 19 participants were conducted. Ricoeur\'s theory of interpretation was used to interpret and discuss the data.
UNASSIGNED: Four themes were identified: the risk of overlooking symptoms: better safe than sorry; varying degrees of involvement of people with mild stroke; spontaneous involvement of relatives; and contextual challenges for coherence in the rehabilitation process.
UNASSIGNED: The therapists experienced challenges in coordinating rehabilitation across sectors due to the timing of the needs assessment and contextual challenges. They used a preventive strategy of sending a plan or referral for later re-assessment. The therapists involved people with mild stroke to varying degrees. They involved relatives spontaneously. For successful rehabilitation, ongoing assessment, recognition of collaboration factors and relative involvement are essential.
It is crucial to continuously evaluate needs and establish goals throughout the entirety of the rehabilitation process.Recognizing that the capacity and resources of people with mild strokes to collaborate with professionals are contextually, relationally, and individually determined is important.Involvement of relatives should be strengthened on many levels from the institutional level to the personal level.
摘要:
为了满足轻度中风患者的需求,多学科,以人为本,国际上建议跨部门康复。然而,康复过程中似乎存在差距。这项研究的目的是调查职业治疗师和物理治疗师在轻度中风患者的跨部门康复工作中的经验。
数据是通过采访在四种不同的丹麦康复机构工作的职业治疗师和物理治疗师而产生的。进行了四次小组访谈和两次个人访谈,共19名参与者。Ricoeur的解释理论用于解释和讨论数据。
确定了四个主题:忽视症状的风险:安全性优于遗憾;轻度中风患者的不同程度受累;亲属的自发受累;以及康复过程中连贯性的背景挑战。
由于需求评估的时机和背景挑战,治疗师在跨部门协调康复方面遇到了挑战。他们使用了一种预防性策略,即发送计划或转诊以供以后重新评估。治疗师在不同程度上涉及轻度中风的人。他们自发地涉及亲戚。为了成功康复,正在进行的评估,识别协作因素和相关参与是至关重要的。
在整个康复过程中不断评估需求并建立目标至关重要。认识到轻度中风患者与专业人士合作的能力和资源是上下文的,关系上,个人决定是很重要的。从制度层面到个人层面,应在多个层面加强亲属的参与。
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