什么对你重要?从服务对象的角度,以混合方法评估康复服务中的目标设定和实现情况。

IF 1.9 4区 医学 Q2 REHABILITATION
Ines Mouchaers, Hilde Verbeek, Sigrid van Haaster, Jolanda C M van Haastregt, Ellen Vlaeyen, Geert Goderis, Silke F Metzelthin
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引用次数: 0

摘要

背景:目标设定是康复计划的一个重要组成部分,同时也是从服务对象的角度对康复计划进行评估的一个重要方面。目标:作为 TRANS-SENIOR 项目的一部分,本研究旨在从老年人的视角深入了解康复服务中的目标设定和目标实现情况:采用聚合混合方法设计,将电子护理档案中的数据、填写的加拿大职业表现测量表(COPM)与个人访谈相结合:共有 17 名客户参与了研究。参与者有意义的目标主要集中在自我护理方面,而不是休闲或生产方面。这对他们来说是最重要的,因为能够独立完成自我护理任务可以增强他们的信心和毅力。在实现目标方面,受试者的自我感觉表现和满意度得分均有显著提高,且具有统计学意义和临床相关性:尽管大多数目标都集中在自我护理方面,但很明显,这些任务对参与者来说很重要,尤其是因为这些任务往往先于基本的生活目标:意义:康复训练可以积极促进服务对象设定和实现目标,并有助于提高其独立性。然而,其有效性以及随之而来的长期效果尚未得到证实,应在今后的研究中加以评估。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
What matters to you? A mixed-method evaluation of goal setting and attainment within reablement from a client perspective.

Background: Goal setting is an essential component of reablement programmes. At the same time it is also an important aspect in the evaluation of reablement from the perspective of clients.

Objectives: As part of the TRANS-SENIOR project, this research aims to get an in-depth insight of goal setting and goal attainment within reablement services from the perspective of the older person.

Material and methods: A convergent mixed methods design was used, combining data from electronic care files, and completed Canadian Occupational Performance Measure (COPM) forms with individual interviews.

Results: In total, 17 clients participated. Participants' meaningful goals mainly focused on self-care, rather than leisure or productivity. This mattered most to them, since being independent in performing self-care tasks increased clients' confidence and perseverance. Regarding goal attainment, a statistically significant and clinically relevant increase in self-perceived performance and satisfaction scores were observed.

Conclusion: Although most goals focused on self-care, it became apparent that these tasks matter to participants, especially because these often precede fundamental life goals.

Significance: Reablement can positively contribute to goal setting and attainment of clients and may contribute to increased independence. However, effectiveness, and subsequently long-term effects, are not yet accomplished and should be evaluated in future research.

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来源期刊
CiteScore
3.40
自引率
15.80%
发文量
45
审稿时长
6-12 weeks
期刊介绍: The Scandinavian Journal of Occupational Therapy is an internationally well-recognized journal that aims to provide a forum for occupational therapy research worldwide and especially the Nordic countries. Scandinavian Journal of Occupational Therapy welcomes: theoretical frameworks, original research reports emanating from quantitative, qualitative and mixed methods studies, literature reviews, case studies, presentation and evaluation of instruments, evaluation of interventions, learning and teaching in OT, letters to the editor.
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