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首页> 外文期刊>Disability and rehabilitation. >The client-centred approach as experienced by male neurological rehabilitation clients in occupational therapy. A qualitative study based on a grounded theory tradition
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The client-centred approach as experienced by male neurological rehabilitation clients in occupational therapy. A qualitative study based on a grounded theory tradition

机译:男性神经康复患者在职业治疗中所经历的以患者为中心的方法。基于扎根理论传统的定性研究

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Purpose To explore the perspectives of male clients in a neurological rehabilitation setting with regard to the occupational therapy they have received and the client-centred approach. Method This study involved a qualitative research design based on the grounded theory tradition. Individual in-depth interviews were used to collect data. Data were analysed using a constant comparative method. Seven male participants from an inpatient neurological setting were included using a theoretical sampling technique. Results Three themes emerged to describe the approach of the therapists to client-centred practice: (a) a shared biomedical focus as the start of the rehabilitation process, (b) the un-simultaneous shift from a biomedical towards a psycho-social focus and (c) formal versus informal nature of gathering client information. Conclusion A client-centred approach entails a shift from the therapist focussing on recovery from the short-term neurological issues towards the long-term consequences of the disease. According to the client, this shift in reasoning must occur at a specific and highly subjective moment during the rehabilitation process. Identifying this moment could strengthen the client-centred approach.
机译:目的探讨男性患者在神经康复治疗中接受的职业治疗和以患者为中心的方法的观点。方法本研究涉及基于扎根理论传统的定性研究设计。使用个人深入访谈来收集数据。使用恒定比较方法分析数据。使用理论抽样技术纳入了来自住院神经系统环境的七名男性参与者。结果出现了三个主题来描述治疗师采用以客户为中心的实践的方法:(a)共同的生物医学重点作为康复过程的开始;(b)从生物医学重点转向心理社会重点的同时转移;以及(c)收集客户信息的正式与非正式性质。结论以客户为中心的方法需要从专注于康复的治疗师从短期神经系统问题转向疾病的长期后果。客户认为,这种推理上的转变必须在康复过程中的特定且高度主观的时刻发生。确定这一时刻可以加强以客户为中心的方法。

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