帕金森病患者的德尔菲小组关于责任:走向初步分类学
Mahsa Meimandi1, Ghorban Taghizadeh2, Golnoush Kheirollahi3
1Mahsa Meimandi, PhD, is Clinician, Rehabilitation Research Center, Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
概括
这项研究确定了对帕金森病患者 (PwPD) 高责任的职业,并创建了指导干预的分类法. 这有助于临床医生通过了解患者的责任水平来提高职业参与.
科学领域:
- 职业疗法 职业疗法 职业疗法
- 神经康复疗法 神经康复疗法
- 人类因素工程 人类因素工程
背景情况:
- 责任感与职业责任有关,这对于患有帕金森病 (PwPD) 的患者至关重要.
- 需要一个结构化的方法来帮助临床医生提高PwPD的责任.
- 了解患者对职业责任的看法是有效干预的关键.
研究的目的:
- 识别和分类职业内对帕金森病 (PwPD) 患者的责任水平.
- 为分类职业责任制定一种新的分类学.
- 为临床医生提供一个框架,以加强PwPD的职业参与.
主要方法:
- 两轮的Delphi研究涉及PwPD (N=75) 和一轮的Delphi研究与国际专家 (N=8).
- 采用电子调查,收集有关认知责任水平和专家协议的数据.
- 共识是由特定的四分位数范围和协议值来定义的.
主要成果:
- 33个职业类别被确定为对PwPD负有中等到非常高的责任.
- 建立了职业责任的二维分类,包括行动的后果和社会存在.
- 具有自由选择,高体力,单独表现和道德影响等特征的职业带来了更大的责任挑战.
结论:
- 这项研究提出了PwPD关于职业责任的首个共识,并引入了职业复杂性的分类系统.
- 开发的职业列表和分类学可以帮助医疗保健专业人员进行干预规划和结果评估.
- 使用基于责任复杂性的分级职业序列可以改善PwPD中的职业参与.
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