Abstract：
Objectives: This article describes how a home visit solution was developed in a co-design process between patients in treatment for severe spasticity, their caregivers and hospital nurses. The solution was developed using a participatory design approach and was based on the identified needs of the participants. Methods: We developed a home visit solution through an iterative process and a collective \'reflection-in-action\' approach with patients, caregivers and healthcare professionals. Results: The study revealed the complexities of establishing new routines around home visits. The solution included a new workflow for the nurses and a new route and appointment planning tool. Conclusion: Through a participatory design approach, the users developed a home visit solution that minimised disruption to patients\' daily lives and facilitated a dialogue between the nurses and the caregivers about the treatment and the patients\' spasticity, which helped to adjust the treatment in line with the patient´s needs.
摘要：
目标：本文描述了如何在治疗严重痉挛的患者之间的共同设计过程中开发家庭访问解决方案，他们的护理人员和医院护士。该解决方案是使用参与式设计方法开发的，并基于参与者的确定需求。方法：我们通过迭代过程和对患者的集体“反思行动”方法开发了家庭访问解决方案，护理人员和医疗保健专业人员。结果：研究揭示了围绕家访建立新程序的复杂性。该解决方案包括针对护士的新工作流程以及新的路线和预约计划工具。结论：通过参与式设计方法，用户开发了一种家访解决方案，最大限度地减少对患者日常生活的干扰，并促进了护士和护理人员之间关于治疗和患者痉挛状态的对话，这有助于根据病人的需要调整治疗。
